DR. GARY CLARK PATTON MD NPI 1073548525

NPI Information

NPI: 1073548525
Provider Name: DR. GARY CLARK PATTON, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
861 CORPORATE DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 224-2022
Get Directions

DR. Gary Clark Patton, MD is an addiction medicine psychiatry neurology in Lexington, KY. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Gary Clark Patton, MD NPI is 1073548525. 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:

861 CORPORATE DR
LEXINGTON, KY
ZIP 40503-432
Phone: (859) 224-2022
Fax: (859) 224-2024

The enumeration date for this NPI number is 7/12/2006 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	2084A0401X	Psychiatry & Neurology	Addiction Medicine	24639	KENTUCKY	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry	24639	KENTUCKY	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
1	0597008	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	E01308	MEDICARE UPIN	KENTUCKY
3	64246390	MEDICAID	KENTUCKY

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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