Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0101052632 | VA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101052632 | VA |
NPI | 1821077199 |
---|---|
Provider Name | Paige E Patterson |
First Address | Winchester, VA 22601-3834 |
Second Address | Winchester, VA 22601-3834 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0054444000 | (05) | WV |
005616247 | (05) | VA |
210061 | ANTHEM (01) | VA |
2119594 | MAMSI (01) | VA |
41213 | OPTIMA HEALTH SENTARA (01) | VA |
502803 | NCPPO (01) | VA |
C00075 | MEDICARE GROUP (01) | VA |
F37081 | (02) |