DR. GARY CLARK PATTON (NPI# 1073548525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073548525 |
| Entity Type | Individual |
| Full Name | DR. GARY CLARK PATTON |
| Credential | MD |
| Practice Address |
861 Corporate Dr Lexington KY 40503-5432 |
| Mailing Address |
579 W Short St Lexington KY 40507-1262 |
| Practice Telephone | 8592242022 |
| Practice Fax Number | 8592242024 |
| Mailing Telephone | 8593338929 |
| Mailing Fax Number | 8592242024 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
24639 | KY | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
24639 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64246390 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588807887 | Gary Lloyd Patton | Counselor | 2900 1st Ave, Huntington, WV 25702-1241 | 2009-04-16 |
| Street Address |
861 CORPORATE DR |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40503-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468729 | Jennifer J Blair | Counselor | 861 Corporate Dr, Ste. 101, Lexington, KY 40503-5432 | 2015-10-05 |
| 1750792354 | Chelsea Packard | Social Worker | 861 Corporate Dr, Suite 100, Lexington, KY 40503-5432 | 2014-05-16 |
| 1528478617 | Ashley Brook Anderson | Counselor | 861 Corporate Dr, Ste 101, Lexington, KY 40503-5432 | 2014-04-29 |
| 1700215340 | Sheri Bettenhausen | Social Worker | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2013-11-04 |
| 1750710588 | Roxanna Hatton Hill | Counselor | 861 Corporate Dr, Ste 101, Lexington, KY 40503-5432 | 2013-11-02 |
| 1194018192 | Julie A Lebrun | Counselor | 861 Corporate Dr, Suite 101, Lexington, KY 40503-5432 | 2011-05-24 |
| 1235435132 | Linda S Mcginnis | Social Worker | 861 Corporate Dr, Lexington, KY 40503-5432 | 2011-02-10 |
| 1053578443 | Saint Joseph Behavioral Medicine Network | Counselor | 861 Corporate Dr, Suite 103, Lexington, KY 40503-5432 | 2008-05-22 |
| 1326213810 | Janet C Carden | Social Worker | 861 Corporate Dr, Suite 103, Lexington, KY 40503-5432 | 2008-04-25 |
| 1114192895 | John D Michelman, Md, Psc | Psychiatry & Neurology | 861 Corporate Dr, Suite 103, Lexington, KY 40503-5432 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
| 1598322364 | Bobbi Jo Macqueston | Developmental Therapist | 825 Apache Trail, Lexington, KY 40503 | 2019-05-28 |
| 1750846234 | Smart Dental & Hygiene Express | Dentist | 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 | 2019-02-08 |
| 1780148353 | Southland Child, Adult, and Family Counseling | Counselor | 2039 Regency Rd., Ste 1, Lexington, KY 40503 | 2019-01-28 |
| 1073093357 | Amanda Zachem | Nurse Practitioner | 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 | 2018-08-16 |
| 1083101240 | Man O War Urgent Care LLC | Nurse Practitioner | 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 | 2018-04-13 |
| 1255833737 | Bennett Gatto | Physical Therapist | 3882 Mall Road, Lexington, KY 40503 | 2018-03-01 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1245748235 | Sherry Kay Adkins | Registered Nurse | Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 | 2018-01-12 |
| 1003334780 | Martin Bennett Hundley | Counselor | 274 Southland Dr # 204, Lexington, KY 40503 | 2017-09-01 |
| Find all providers in zip 40503 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306996079 | Michael G Kindred | Psychiatry & Neurology | 146 Deweese St, Lexington, KY 40507-1921 | 2007-01-12 |
| 1437186863 | Michelle Lofwall | Psychiatry & Neurology | 845 Angliana Ave, Lexington, KY 40508-3146 | 2006-06-28 |
| 1023281052 | Shri K Vaish | Psychiatry & Neurology | 627 W Fourth St, Lexington, KY 40508-1207 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285103937 | A Newco LLC | Psychiatry & Neurology | 700 Envoy Cir # 702, Louisville, KY 40299-1812 | 2018-11-23 |
| 1487143806 | Fresh Start Health Psc | Psychiatry & Neurology | 336 29th St Ste 203, Ashland, KY 41101-1932 | 2018-05-02 |
| 1972007128 | Revitalize Healthcare, Inc | Psychiatry & Neurology | 657 Lone Oak Rd Ste 2, Paducah, KY 42003-4547 | 2018-03-22 |
| 1427269042 | Cheryl Yvonne Elizabeth Bailey Salary | Psychiatry & Neurology | 149 Grant Park Dr, Dayton, KY 41074-1745 | 2007-05-25 |
| 1992267223 | Eastpoint Recovery Pllc | Psychiatry & Neurology | 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 | 2019-04-04 |
| 1366911893 | Isaiah House Inc | Psychiatry & Neurology | 975 Hustonville Rd Ste 7, Danville, KY 40422-2165 | 2018-11-14 |
| 1730342635 | Christina Shuman Wise | Psychiatry & Neurology | 351 Centre View Boulevard, Crestview Hills, KY 41017-3477 | 2008-07-10 |
Please comment or provide details below to improve the information on DR. GARY CLARK PATTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.