Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 42271 | TN |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 42271 | TN |
NPI | 1508897018 |
---|---|
Provider Name | Jared James Patterson |
First Address | Memphis, TN 38119-5742 |
Second Address | Memphis, TN 38120-4023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06535209 | (05) | MS |
110318002 | (05) | AR |
30000102 | (05) | TN |
3371161 | (05) | TN |
3447891 | CIGNA (01) | TN |
41535 | TLC (01) | TN |
4154727 | BCBS (01) | TN |
620819926 | AETNA (01) | TN |
620819926 | BCBS (01) | MS |
620819926 | CIGNA (01) | TN |
620819926 | TRICARE (01) | TN |
7187860 | (05) | MS |
7218901 | AETNA (01) | TN |
I64039 | (02) | |
P00420649 | RAILROAD MEDICARE (01) | TN |