Provider Demographics
NPI:1174504997
Name:PATTERSON, JOHN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7501 SURRATTS ROAD
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3358
Mailing Address - Country:US
Mailing Address - Phone:301-856-5900
Mailing Address - Fax:301-856-2434
Practice Address - Street 1:7501 SURRATTS ROAD
Practice Address - Street 2:SUITE 201A
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3358
Practice Address - Country:US
Practice Address - Phone:301-586-5900
Practice Address - Fax:301-856-2434
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2013-08-26
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Provider Licenses
StateLicense IDTaxonomies
MDD19633207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD336341400Medicaid
MD336341400Medicaid
MD418707S52Medicare PIN
MD418707Medicare PIN