Individual provider Active NPI

Larry Alan Patton

  • Home Health Aide
  • Saint Clairsville, OH
National Provider Identifier
1972718880
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
2424335 Issued in OH
Practice address
70100 Bannock Uniontown Rd
Saint Clairsville, OH 43950-9600
Phone
(740) 968-2996
Fax
(740) 968-2996
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 2424335 OH Primary

Addresses

Primary practice location

70100 Bannock Uniontown Rd
Saint Clairsville, OH 43950-9600

Mailing address

70100 Bannock Uniontown Rd
Saint Clairsville, OH 43950-9600
Phone (740) 968-2996

Other identifiers 1

IdentifierTypeStateIssuer
2424335MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2424335OHMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1972718880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70100 BANNOCK UNIONTOWN RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509600",
            "telephone_number": "740-968-2996",
            "fax_number": "740-968-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70100 BANNOCK UNIONTOWN RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509600",
            "telephone_number": "740-968-2996",
            "fax_number": "740-968-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "2424335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.