DR. RUSSELL H PATTERSON III M.D. NPI 1417065780

NPI Information

NPI: 1417065780
Provider Name: DR. RUSSELL H PATTERSON III, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
6215 HUMPHREYS BLVD STE 505
MEMPHIS, TN
ZIP 38120
Phone: (901) 747-7001
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DR. Russell H Patterson Iii, M.D. is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Russell H Patterson Iii, M.D. NPI is 1417065780. 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:

6215 HUMPHREYS BLVD STE 505
MEMPHIS, TN
ZIP 38120-382
Phone: (901) 747-7001
Fax: (901) 747-7005

The enumeration date for this NPI number is 8/28/2006 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	174400000X	Specialist		MD0000006686	TENNESSEE	Yes

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	B00963	MEDICARE UPIN
2	3157680	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
3	4036248	OTHER	TENNESSEE	BLUE SHIELD TN

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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