PAUL PATTERSON (NPI# 1063873933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063873933 |
| Entity Type | Individual |
| Full Name | PAUL PATTERSON |
| Credential | MD |
| Practice Address |
9040 Jackson Ave Department of Pediatrics Mamc Tacoma WA 98431-0001 |
| Practice Telephone | 2539682310 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0101263372 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
0101263372 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8901 Wisconsin Ave, Department of Pediatrics, Wrnmmc, Bethesda, MD 20889 | 3012954941 | |
| 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 984310001 | 2539682310 | |
| 9040 Jackson Ave, Tacoma, WA 98431 | 2539682310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639290745 | Paul Bertran Patterson Jr. | Chiropractor | 130 Kedron Parkway, Spring Hill, TN 37174 | 2007-04-03 |
| 1730228875 | Paul Kenneth Patterson | Chiropractor | 3721 Kitsap Way, Ste 8, Bremerton, WA 98312-2461 | 2007-02-05 |
| 1194870212 | Paul R Patterson | Physician Assistant | Bldg 4315 El Salvador Way, Eafb, FL 32542 | 2007-01-25 |
| 1497784755 | Paul Lee Patterson II | Optometrist | 295 Campbellsville Bypass, Ste 1, Campbellsville, KY 42718 | 2006-06-30 |
| 1285639617 | Paul Michael Patterson | Nurse Practitioner | 115a La Grange Ave, Suite 101, La Plata, MD 20646-9597 | 2005-06-13 |
| 1063470276 | Paul Anthony Patterson | Nurse Anesthetist, Certified Registered | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2006-05-04 |
| 1144288465 | Paul Robert Patterson | Emergency Medicine | One Nolte Drive, Armstrong County Memorial Hospital, Kittanning, PA 16201 | 2006-05-03 |
| Street Address |
9040 JACKSON AVE DEPARTMENT OF PEDIATRICS MAMC |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215460860 | Kira Belzer | Pediatrics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2017-04-10 |
| 1205972791 | Deanna Sue Livingstone | Pediatrics | 9040 Reid Street, A, Tacoma, WA 98431-1100 | 2007-01-30 |
| 1023184298 | Bradley Stanton Hood | Pediatrics | 311 S L St, Tacoma, WA 98405-3720 | 2006-11-28 |
| 1700840998 | Daniel Seth Roy | Pediatrics | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-04-14 |
| 1134182801 | Thomas A Clingan IIi | Pediatrics | Department of Pediatrics, Madigan Army Medical Center, Tacoma, WA 98431-0001 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533838 | Lilliam A Sierra | Pediatrics | 7301 W Deschutes Ave, Suite A, Kennewick, WA 99336-7757 | 2005-07-26 |
| 1568880276 | Angela J Armen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-31 |
| 1700103462 | Providence Physician Services Co | Pediatrics | 101 W 8th Ave, Ste 4200, Spokane, WA 99204-2307 | 2010-04-21 |
| 1790910701 | Lisa Diane Herzig | Pediatrics | 4800 Sand Point Way Ne, M/s Oc.9.840, Seattle, WA 98105-3901 | 2009-05-19 |
| 1710135926 | Emily Myers | Pediatrics | 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 | 2008-08-29 |
| 1093931339 | Sterling K Clarren | Pediatrics | 2142 10th Ave W, Seattle Children's Home, Seattle, WA 98119-2845 | 2007-04-17 |
| 1073646469 | Natasha Hays | Pediatrics | 677 Woodland Square Loop Se, Lacey, WA 98503-1000 | 2007-03-14 |
| 1922167220 | Theodore Dungan Mandelkorn | Pediatrics | 2553 76th Ave Se, Mercer Island, WA 98040-2758 | 2006-12-06 |
| 1912065889 | David Laverne Burkebile | Pediatrics | 601 S Carr Rd, Suite 420, Renton, WA 98055-5866 | 2006-12-04 |
| 1538240890 | Michael L Cunningham | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.