MRS. PATRICIA ANN PAGAN (NPI# 1780668426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780668426 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN PAGAN |
| Other Name | MRS. PATRICIA ANN PALMOUR |
| Credential | MD |
| Practice Address |
108 Lifestyle Way Benton TN 37307-3914 |
| Practice Telephone | 4233387777 |
| Practice Fax Number | 4233389326 |
| Mailing Telephone | 4233387777 |
| Mailing Fax Number | 4233389326 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 3583 | SD | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 35849 | TN | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
3583 | SD | Allopathic & Osteopathic Physicians |
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
35849 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4041838 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194852129 | Patricia Pagan | Pediatrics | 10350 E Dakota Ave, Denver, CO 80247-1314 | 2007-02-27 |
| Street Address |
108 LIFESTYLE WAY |
| City | BENTON |
| State | TN |
| Zip Code | 37307-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144505264 | Andy Kim | Dentist | 108 Lifestyle Way, Benton, TN 37307-3914 | 2011-10-20 |
| 1528239589 | Total Dental Center | Dentist | 108 Lifestyle Way, Benton, TN 37307-3914 | 2008-03-18 |
| 1154545978 | Pathmavathi S Pentiah | Physical Therapist | 108 Lifestyle Way, Benton, TN 37307-3914 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330485 | Caleb Sloan Rae | Physician Assistant | 126 Polk Street, Benton, TN 37307 | 2008-03-19 |
| 1104026087 | Christopher Alvin Patterson | Pharmacist | 6206 Hwy 411, Benton, TN 37307 | 2007-07-19 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1598825226 | Preferred Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 6206 Highway 411, Benton, TN 37307 | 2006-12-11 |
| 1306895784 | Joseph Matthew Gager | Physical Therapist | 6176 Highway 411, Benton, TN 37307 | 2006-05-10 |
| 1588721682 | Jerry D. Lowery | Pharmacist | 55 Main Street, Benton, TN 37307 | 2007-01-02 |
| 1457424194 | Rachel Mcclary Brewer | Pharmacist | 55 Main Street, Benton, TN 37307 | 2006-11-17 |
| 1780797035 | Aleksander Ivanovich Malakhov | Family Medicine | Highway 411 South, Benton, TN 37307-0308 | 2006-08-17 |
| 1386857381 | Ocoee Regional Health Corporation | Clinic/Center | 6784 Highway 411, Benton, TN 37307-0308 | 2007-05-07 |
| 1053757005 | Kimberli Booth | Massage Therapist | 217 Ward St, Benton, TN 37307-3054 | 2013-05-17 |
| Find all providers in zip 37307 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1245641273 | Austin Beck | Family Medicine | 83 Wellness Way Lane, 1st Floor, Benton, KY 42025-7156 | 2014-05-13 |
| 1245415389 | Comprehensive Family Health Care LLC | Family Medicine | 142 S Winchester St, Benton, MO 63736-0000 | 2008-01-08 |
| 1891816153 | Patricia G Mcgarry | Family Medicine | 6640 Congo Rd., Benton, AR 72019-6913 | 2007-04-03 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1235209198 | Lisa Rebecca Barker | Family Medicine | 1304 Military Rd, Benton, AR 72015-2911 | 2006-11-08 |
| 1194821884 | Troy Glen Moore | Family Medicine | 5539 Atlantic Cv, Benton, AR 72019-8563 | 2006-09-16 |
| 1619071024 | Marvin Norwood Kirk | Family Medicine | 1102 B W. South Street, Benton, AR 72015-4066 | 2006-09-08 |
| 1780797035 | Aleksander Ivanovich Malakhov | Family Medicine | Highway 411 South, Benton, TN 37307-0308 | 2006-08-17 |
| 1215956602 | Ralph I Latta | Family Medicine | 501 N Duquoin, Benton, IL 62812-5228 | 2006-07-18 |
| Find all providers in BENTON | ||||
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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.