Provider Demographics
NPI:1023019288
Name:PATTERSON, ANTHONY E (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:E
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:340 YORK RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3180
Practice Address - Country:US
Practice Address - Phone:717-218-3920
Practice Address - Fax:717-218-3921
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD425569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007307260034OtherMEDICAID GROUP #
PA25-1716306OtherMULTIPLAN/PHCS
PA426715OtherHEALTH AMERICA
PA50052624OtherCAPITAL BLUECROSS
PA5641949OtherFIRST HEALTH
PAP006373OtherGATEWAY
PA1739914OtherHIGHMARK BLUESHIELD
PA2134154OtherMAMSI
PA25-1716306OtherDEVON
PA120420409OtherDEPT OF LABOR
PA25-1716306OtherSOUTH CENTRAL PREFERRED
PA25-1716306OtherGREATWEST HEALTHCARE
PA3776615OtherAETNA HMO
PA167625OtherUNISON
PA25-1716306OtherINFORMED
PA25-1716306OtherHEALTHNET/TRICARE
PAG920-0044/647201OtherCAREFIRST
PA25-1716306OtherINTERGROUP
PA7905660OtherAETNA NON-HMO
PA867633OtherMEDICARE GROUP #
PAMD425569OtherLICENSE
PA1012912910001Medicaid
PAP00238519OtherRAILROAD MEDICARE
PAP00238519OtherRAILROAD MEDICARE
PABP9131929OtherDEA
PAI32993Medicare UPIN