GERALD M. PATTON (NPI# 1760442826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760442826 |
| Entity Type | Individual |
| Full Name | GERALD M. PATTON |
| Credential | M.D. |
| Practice Address |
830 Old Lancaster Rd Suite 101 Bryn Mawr PA 19010-3118 |
| Practice Telephone | 6105271185 |
| Practice Fax Number | 6105278759 |
| Mailing Telephone | 6105271185 |
| Mailing Fax Number | 6105278759 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD042087E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015896530002 | 05 |
| Street Address |
830 OLD LANCASTER RD SUITE 101 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255203 | Svetlana Nikitina | Internal Medicine | 830 Old Lancaster Rd, Ste 105north, Bryn Mawr, PA 19010-3118 | 2005-06-17 |
| 1003249731 | Norman Burstein | Audiologist | 830 Old Lancaster Rd, Suite 200, Bryn Mawr, PA 19010-3118 | 2013-08-16 |
| 1427317114 | Laura Mary Eccles | Nurse Practitioner | 830 Old Lancaster Rd, Ste 209, Bryn Mawr, PA 19010-3118 | 2012-05-15 |
| 1265701437 | Lynn Marie Freda | Nurse Practitioner | 830 Old Lancaster Rd, Suite 306 Mob North, Bryn Mawr, PA 19010-3118 | 2011-12-17 |
| 1730463886 | Alfred Caldwell Warlick Iv | Physician Assistant | 830 Old Lancaster Rd, Mob North Suite 101, Bryn Mawr, PA 19010-3118 | 2011-10-07 |
| 1649508631 | Ravi Chandra Anjaneyalu Madineni | Neurological Surgery | 830 Old Lancaster Rd, Suite 209, Bryn Mawr, PA 19010-3118 | 2009-12-02 |
| 1780819763 | Christina Fluehr Alt | Physician Assistant | 830 Old Lancaster Rd, Suite 203, Bryn Mawr, PA 19010-3118 | 2009-05-20 |
| 1184861627 | Katharine Graham | Physician Assistant | 830 Old Lancaster Rd, Ste 105n, Bryn Mawr, PA 19010-3118 | 2009-01-20 |
| 1467605964 | Dawn Marlene Trybulski | Optometrist | 830 Old Lancaster Rd, Bmh Mob North, Suite 100, Bryn Mawr, PA 19010-3118 | 2008-10-28 |
| 1366614489 | Patricia Ann Forcina | Audiologist | 830 Old Lancaster Rd, Suite 200, Bryn Mawr, PA 19010-3118 | 2008-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447454301 | Daniel Joseph Hayes Jr. | Surgery | 830 Old Lancaster Rd, Suite 101, Bryn Mawr, PA 19010-3118 | 2007-06-13 |
| 1629037288 | Sean V Ryan | Surgery | 830 Old Lancaster Rd, Suite 101, Bryn Mawr, PA 19010-3118 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
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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.