MR. ADAM R PATTYN (NPI# 1073958088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073958088 |
| Entity Type | Individual |
| Full Name | MR. ADAM R PATTYN |
| Credential | DO |
| Practice Address |
Blanchfield Army Community Hosptial 650 Joel Drive Fort Campbell KY 42223 |
| Mailing Address |
3967 Campus Willows Loop Ne Lacey WA 98516-6407 |
| Practice Telephone | 2109160439 |
| Mailing Telephone | 5039750157 |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPTIAL 650 JOEL DRIVE |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528583747 | Amber Wood | Nurse Practitioner | Blanchfield Army Community Hosptial, 650 Joel Drive, Fort Campbell, KY 42223 | 2017-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605932 | Alexandros Athanasopoulos | Military Health Care Provider | 650 Joel Dr Rm 1be01d, Fort Campbell, KY 42223-5349 | 2018-10-19 |
| 1245206416 | Kao Bin Chou | Military Health Care Provider | 3208 Indiana Ave, Fort Campbell, KY 42223-6215 | 2006-02-27 |
| 1487264503 | Andrew Porter | Military Health Care Provider | 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 | 2020-08-04 |
| 1518316850 | Samone Franzese | Military Health Care Provider | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2016-06-07 |
| 1205114972 | Deirdre Ann Schluckebier | Military Health Care Provider | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2011-07-29 |
| 1649582685 | Alain Michael Pagaduan Abellada | Military Health Care Provider | 5979 Desert Storm Ave, Fort Campbell, KY 42223 | 2010-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361090 | Isiah Galarza | Military Health Care Provider | 5812a Billhymer St, Fort Knox, KY 40121-2028 | 2019-02-04 |
| 1295159622 | Mary Louise Chaffins | Military Health Care Provider | 160 Moore Dr, Suite 201, Lexington, KY 40503-2932 | 2014-02-05 |
| 1346357266 | Larry R Arbaugh | Military Health Care Provider | 111 Susan Ave, Hopkinsville, KY 42240-4951 | 2006-08-24 |
| 1245277524 | Amber Simecek | Military Health Care Provider | 853 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-2727 | 2006-06-02 |
| 1639140684 | Ross Alan Witters | Military Health Care Provider | 200 Brule Street, Fort Knox, KY 40121 | 2006-01-29 |
| 1659741593 | Nathanael Harney | Military Health Care Provider | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2015-10-05 |
| 1225457252 | Tracy Knutson | Military Health Care Provider | 1704 N Dixie Hwy # 913, Elizabethtown, KY 42701-9449 | 2014-04-07 |
| 1760639025 | Maryanne Elizabeth Hostetter | Military Health Care Provider | 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 | 2008-08-19 |
| 1346411568 | Joanna Rae Thompson | Military Health Care Provider | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2008-03-15 |
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on MR. ADAM R PATTYN.
| 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.