Provider Demographics
NPI:1205870342
Name:PATTERSON, F M SIMMONS JR (MD)
Entity type:Individual
Prefix:
First Name:F M
Middle Name:SIMMONS
Last Name:PATTERSON
Suffix:JR
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 1:205 PAGE RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8798
Mailing Address - Country:US
Mailing Address - Phone:910-295-5511
Mailing Address - Fax:910-235-3428
Practice Address - Street 1:205 PAGE RD
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8798
Practice Address - Country:US
Practice Address - Phone:910-295-5511
Practice Address - Fax:910-235-3428
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17410207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8966197Medicaid
NC80160OtherMEDCOST PROVIDER#
NCFH1000255OtherFIRSTCAROLINACARE PROV#
NC110081952OtherPALMETTO GBA PROVIDER#
NC66197OtherBC/BS NC PROVIDER#
SCQ17410OtherSC MEDICAID PROVIDER#
NC2501568OtherEVERCARE
E16437Medicare UPIN
NC209461AMedicare ID - Type Unspecified