MEDICARE: RICHARD J PATTERSON II MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	0101052345	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00242013	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710948898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD J PATTERSON II MD

Provider Business Mailing Address
First Line	:	152 LINDEN DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2818
Country	:	US
Telephone Number	:	540-667-9252
Fax Number	:	540-722-4514

Provider Business Practice Location Address
First Line	:	152 LINDEN DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-2818
Country	:	US
Telephone Number	:	540-667-9252
Fax Number	:	540-722-4514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	01/23/2020

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