DR. RANDY BLAKE PATTERSON (NPI# 1194109066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194109066 |
| Entity Type | Individual |
| Full Name | DR. RANDY BLAKE PATTERSON |
| Credential | M.D. |
| Practice Address |
330 Brookline Avenue Boston MA 02215-5400 |
| Mailing Address |
1112 Huntington Ave Nichols Hills OK 73116-6213 |
| Practice Telephone | 6176677000 |
| Practice Fax Number | 6176327424 |
| Mailing Telephone | 4054730210 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 31329 | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424803 | Randy E Patterson | Psychologist | 110 Ho Plz, Ithaca, NY 14853-3102 | 2018-01-03 |
| 1841747581 | Randy Patterson | Counselor | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2016-09-09 |
| Street Address |
330 BROOKLINE AVENUE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627481 | Asha Anandaiah | Internal Medicine | 330 Brookline Avenue, Ksb-023, Boston, MA 02215 | 2005-05-31 |
| 1639706492 | Michael Ryan Tom | Student in an Organized Health Care Education/Training Program | 330 Brookline Avenue, Bidmc Psychiatry Training Program, Rabb 2, Boston, MA 02215 | 2020-03-23 |
| 1134769052 | James Saperia | Student in an Organized Health Care Education/Training Program | 330 Brookline Avenue, Boston, MA 02215 | 2020-01-08 |
| 1528626389 | Marissa Chloe Palmor | Obstetrics & Gynecology | 330 Brookline Avenue, Shapiro 8, Boston, MA 02215-5400 | 2019-06-05 |
| 1881168201 | Jeffrey Zhenyu Wang | Student in an Organized Health Care Education/Training Program | 330 Brookline Avenue, Kirstein 406, Boston, MA 02215 | 2019-01-18 |
| 1578032264 | Debbie Koay | Pharmacist | 330 Brookline Avenue, Boston, MA 02215 | 2018-11-26 |
| 1194205237 | Brian Pak Ho Chan | Student in an Organized Health Care Education/Training Program | 330 Brookline Avenue, Stoneman 458, Boston, MA 02215 | 2018-08-17 |
| 1518452754 | Evgeniya Larionova | Surgery | 330 Brookline Avenue, Boston, MA 02149-2507 | 2018-06-29 |
| 1679065817 | Corinne Nicole Jansen | Obstetrics & Gynecology | 330 Brookline Avenue, East Campus, Kirstein 3, Boston, MA 02215 | 2018-06-04 |
| 1205326865 | Katherine Marie Baker | Student in an Organized Health Care Education/Training Program | 330 Brookline Avenue, East Campus, Kirstein 3, Boston, MA 02215 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
| 1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| Find all providers in BOSTON | ||||
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| 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.