Provider Demographics
NPI:1003855149
Name:PATTON, ARTHUR FREDERICK (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:FREDERICK
Last Name:PATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:A.
Other - Middle Name:FRED
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 830230
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35283-0230
Mailing Address - Country:US
Mailing Address - Phone:205-250-6000
Mailing Address - Fax:205-250-6848
Practice Address - Street 1:527 FIELDSTOWN RD
Practice Address - Street 2:SUITE C
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-4418
Practice Address - Country:US
Practice Address - Phone:205-631-5671
Practice Address - Fax:205-631-4268
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10605207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000011553Medicaid
000011553Medicare PIN
ALC73860Medicare UPIN