MR. SAMUEL HENRY PATTON (NPI# 1124497623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124497623 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL HENRY PATTON |
| Practice Address |
280 1st St 49 Medical Group Holloman Afb NM 88330-8273 |
| Mailing Address |
200 1st St. Bldg 17 Holloman Afb NM 88330 |
| Practice Telephone | 5755725676 |
| Mailing Telephone | 5755725676 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2382 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861711186 | Samuel Ross Patton | Otolaryngology | 4191 Bellaire Blvd Ste 200, Houston, TX 77025-1003 | 2010-05-26 |
| 1710155932 | Samuel Patton | Counselor | 130 N Ash St, Casper, WY 82601-1821 | 2008-02-11 |
| 1932160736 | Samuel H. Patton | Anesthesiology | 1600 University Dr E, College Station, TX 77840-2642 | 2006-03-31 |
| Street Address |
280 1ST ST 49 MEDICAL GROUP |
| City | HOLLOMAN AFB |
| State | NM |
| Zip Code | 88330-8273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581056 | Peter Balogh | Dentist | 280 1st St, Holloman Afb, NM 88330-8273 | 2006-01-09 |
| 1629682034 | Danielle Moore | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1639783053 | Ericka Renee Smith | Dental Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2020-09-02 |
| 1316420235 | Matthew Lawrence | Physician Assistant | 280 1st St, Holloman Afb, NM 88330-8273 | 2018-09-07 |
| 1972042331 | Erik Steidley | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88310 | 2017-02-17 |
| 1811435613 | Ashly Marie Pezel | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2017-02-01 |
| 1003265299 | Anne Christine Rivera | Dietitian, Registered | 280 1st St, 49mdg/sgpz, Holloman Afb, NM 88330-8273 | 2016-06-08 |
| 1679935720 | Travis Stevens | Social Worker | 280 1st St, Holloman Afb, NM 88330-8273 | 2016-03-27 |
| 1144600016 | James Andrew Carroll | Pediatrics | 280 1st St, Holloman Afb, NM 88330-8273 | 2015-06-04 |
| 1508100207 | Jana Joel Mcburney | Nurse Practitioner | 280 1st St, Holloman Afb, NM 88330-8273 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312084 | Zachary James Smith | Pharmacist | 49th Medical Group 280 First Street, Holloman Afb, NM 88330 | 2019-08-20 |
| 1346776804 | Maxilea Isom | Behavior Technician | 2079 Eglin Ave Apt A, Holloman, Afb, NM 88330 | 2017-05-03 |
| 1932558665 | Courtney Davis | Day Training/Habilitation Specialist | 2228 La Luz Pkwy Unit A, Holloman Afb, NM 88330 | 2016-06-03 |
| 1568849255 | Ryan Abner | Registered Nurse | 49th Medical Building 17, Holloman Afb, NM 88330 | 2015-05-01 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1174934764 | Jason Gordon | Social Worker | 1st Street Holloman Afb, Holloman Afb, NM 88330 | 2014-05-16 |
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1275891889 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 551 4th Street, Bldg. 227, Holloman Afb, NM 88330 | 2012-05-02 |
| 1568606317 | Kimberly Dawn Jensen | Internal Medicine | 280 1st St Bldg 15, 49 Mdg Holloman Afb, Holloman Afb, NM 88330 | 2009-04-23 |
| 1700042306 | Bettina Watkins | Family Medicine | 280 First St, Bldg 23, Holloman Afb, NM 88330 | 2008-08-03 |
| Find all providers in zip 88330 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700384252 | Walker Jean-philippe | Counselor | 2480 Mora Loop Apt B, Holloman Afb, NM 88330-8566 | 2018-01-30 |
| 1912225087 | Michael H Toreno | Counselor | 280 1st Street, 49 Medical Group, Holloman Afb, NM 88330-8273 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | HOLLOMAN AFB |
| Zip Code | 88330 |
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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.