Provider Demographics
NPI:1053306175
Name:PATTERSON, DONALD PARKER (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PARKER
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 GREAT CIRCLE RD.
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228
Mailing Address - Country:US
Mailing Address - Phone:615-565-6386
Mailing Address - Fax:615-222-7237
Practice Address - Street 1:1800 MEDICAL CENTER PARKWAY
Practice Address - Street 2:DEPAUL BLDG. STE. 400
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:615-396-6800
Practice Address - Fax:615-396-6801
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36323207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3888193Medicaid
TNH94034Medicare UPIN
P00107108Medicare PIN
TN3888193Medicare PIN