Latisha Darsha Patterson (NPI# 1033460019, PAC ID# 6901044353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1033460019 |
| PAC ID by PECOS | 6901044353 |
| Professional Enrollment ID | I20130524000596 |
| Full Name | Latisha Darsha Patterson |
| Organization Legal Name | HOPE REGIONAL MEDICAL CLINIC |
| Address |
546 W Ridgeway St Warrenton NC 27589-1716 |
| Phone Number | 2522421010 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2961735873 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340132 | MARIA PARHAM MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 178 Hwy 105 Ext 101, Boone, NC 28607-5667 | 8282657146 | FASTMED URGENT CARE PC |
| 5402 W Market St, Greensboro, NC 27409-2507 | 3365641916 | FASTMED URGENT CARE PC |
| 2101 N Main St, High Point, NC 27262-7700 | 3368756575 | FASTMED URGENT CARE PC |
| 910 N Madison Blvd B, Roxboro, NC 27573-4573 | 3365922230 | FASTMED URGENT CARE PC |
| 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2522421010 | HOPE REGIONAL MEDICAL CLINIC |
| Organization Legal Name | HOPE REGIONAL MEDICAL CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Demaura H Russell | Family Medicine | Hope Regional Medical Clinic | 546 W Ridgeway St, Warrenton, NC 27589-1716 |
| Street Address |
546 W RIDGEWAY ST |
| City | WARRENTON |
| State | NC |
| Zip | 27589-1716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Demaura H Russell | Family Medicine | Hope Regional Medical Clinic | 546 W Ridgeway St, Warrenton, NC 27589-1716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette R Douglas-lewis | Family Practice | Warrenton Family Practice, Pllc | 163 Christmas Rd, Warrenton, NC 27589-8723 |
| City | WARRENTON |
| Zip Code | 27589 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WARRENTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Latisha Darsha Patterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.