DR. YVONNE PATTERSON, M.D. - NPI NUMBER 1659499085

Summary

Provider Name: DR. YVONNE PATTERSON, M.D.

NPI Number: 1659499085

Clasification: Family Medicine (207Q00000X)

Address:
426 STUDENT HEALTH CENTER
UNIVERSITY PARK, PA
ZIP 16802

Phone Number: (814) 863-8870



Detailed Information

DR. Yvonne Patterson, M.D. is a family physician in University Park, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. The assigned NPI number for this provider is 1659499085 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

426 STUDENT HEALTH CENTER
UNIVERSITY PARK, PA
ZIP 16802
Phone: (814) 863-8870
Fax: (814) 863-8464

The enumeration date for this NPI number is 3/26/2007 and was last updated on 7/15/2008.

Map - Location of Practice

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Taxonomy Codes

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 207Q00000X Family Medicine MD-044757-E PA No
2 208000000X Pediatrics MD-044757-E PA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 PA633174 OTHER PA BLUE SHIELD
2 E60229 MEDICARE UPIN PA

NPI Record

No. Field Name Field Value
1 NPI 1659499085
2 Entity Type Code 1
3 Provider Last Name Legal Name PATTERSON
4 Provider First Name YVONNE
5 Provider Name Prefix Text DR.
6 Provider Credential Text M.D.
7 Provider First Line Business Practice Location Address 426 STUDENT HEALTH CENTER
8 Provider Business Practice Location Address City Name UNIVERSITY PARK
9 Provider Business Practice Location Address State Name PA
10 Provider Business Practice Location Address Postal Code 16802
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8148638870
13 Provider Business Practice Location Address Fax Number 8148638464
14 Provider Enumeration Date 3/26/2007
15 Last Update Date 7/15/2008
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 207Q00000X
18 Provider License Number 1 MD-044757-E
19 Provider License Number State Code 1 PA
20 Healthcare Provider Primary Taxonomy Switch 1 N
21 Healthcare Provider Taxonomy Code 2 208000000X
22 Provider License Number 2 MD-044757-E
23 Provider License Number State Code 2 PA
24 Healthcare Provider Primary Taxonomy Switch 2 Y
25 Other Provider Identifier 1 PA633174
26 Other Provider Identifier Type Code 1 01
27 Other Provider Identifier State 1 PA
28 Other Provider Identifier Issuer 1 BLUE SHIELD
29 Other Provider Identifier 2 E60229
30 Other Provider Identifier Type Code 2 02
31 Other Provider Identifier State 2 PA
32 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.