MARK KENNETH PATTON M.D. NPI 1215932850

NPI Information

NPI: 1215932850
Provider Name: MARK KENNETH PATTON, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
4700 N 51ST AVE
STE 4
PHOENIX, AZ
ZIP 85031
Phone: (623) 846-7575
Get Directions

Mark Kenneth Patton, M.D. is an adolescent medicine pediatrics in Phoenix, AZ. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Mark Kenneth Patton, M.D. NPI is 1215932850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4700 N 51ST AVE
STE 4
PHOENIX, AZ
ZIP 85031-237
Phone: (623) 846-7575
Fax: (623) 247-6386

The enumeration date for this NPI number is 6/20/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	23562	ARIZONA	Yes
2	208000000X	Pediatrics		23562	ARIZONA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1369849	OTHER	ARIZONA	UNITED HEALTHCARE
2	1Z8749	OTHER	ARIZONA	HEALTHNET
3	339889	MEDICAID	ARIZONA
4	AZ0392760	OTHER	ARIZONA	BCBS
5	85031A009	OTHER	ARIZONA	TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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