PATTERSON PEDIATRIC GASTROENTEROLOGY PLLC
NPI 1912275538
Clinic/Center in Phoenix, AZ

Active since December 09, 2011
515 W BUCKEYE RD, SUITE 105, PHOENIX, AZ 85003(602) 283-3165(602) 283-3612 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patterson Pediatric Gastroenterology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATTERSON PEDIATRIC GASTROENTEROLOGY PLLC (NPI 1912275538) is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since December 2011. The organization lists Edward Lee Patterson, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1912275538
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePATTERSON GASTROENTEROLOGY PLLC
Location Address515 W BUCKEYE RD, SUITE 105Phoenix, AZ 85003-2647
Mailing AddressPo Box 90482Phoenix, AZ 85066-0482 · (602) 283-3165 · Fax (602) 283-3612
Fax(602) 283-3612
Organization SubpartNo
Authorized OfficialEdward Lee PattersonOwner/ceo · (602) 283-3165
Enumeration DateDecember 9, 2011
NPI 1912275538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in AZ · 20901
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
515 W BUCKEYE RD, Phoenix, AZ 85003

Other Names 1

Doing Business AsPatterson Pediatric Gastroenterology Pllc

Other Identifiers 2

Medicare UPINF66154AZ
Medicaid127820AZ

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
515 W BUCKEYE RD, STE 402
PHOENIX, AZ 85003
Pediatrics
515 W BUCKEYE RD, SUITE 402
PHOENIX, AZ 85003
Substance Abuse Rehabilitation Facility
515 W BUCKEYE RD
PHOENIX, AZ 85003
Specialist
515 W BUCKEYE RD, SUITE 104
PHOENIX, AZ 85003
Physician Assistant (Medical)
515 W BUCKEYE RD, SUITE 402
PHOENIX, AZ 85003
Pediatrics
515 W BUCKEYE RD, SUITE 402
PHOENIX, AZ 85003
Psychiatry & Neurology (Neurology)
515 W BUCKEYE RD, STE 208
PHOENIX, AZ 85003
Psychiatry & Neurology (Neurology)
515 W BUCKEYE RD, STE 208
PHOENIX, AZ 85003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patterson Gastroenterology PLLC's NPI number?

The NPI number for Patterson Gastroenterology PLLC is 1912275538. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is doing business as Patterson Pediatric Gastroenterology PLLC.

Where is Patterson Gastroenterology PLLC located?

Patterson Gastroenterology PLLC is located at 515 W Buckeye Rd Suite 105, Phoenix, AZ 85003. The listed phone number is (602) 283-3165.

What is Patterson Gastroenterology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Patterson Gastroenterology PLLC was last updated on December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.