Individual
RICHARD D PATTERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-1700
Mailing address
3605 WARRENSVILLE CENTER ROAD, MSC9152, SHAKER HEIGHTS, OH 44122
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
069676
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35069676
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025902
ANTHEM BC/BS
OH
01
—
000000221312
UNISON
OH
01
—
000000516405
ANTHEM
OH
01
—
0304914
BCMH
OH
05
—
2026202
—
OH
01
—
300084158
RAILROAD MEDICARE
OH
01
—
363905
WELLCARE
OH
01
—
731514
BUCKEYE COMM HEALTH PLAN
OH
01
—
7384635
AETNA
OH
01
—
751195
BUCKEYE
OH
01
—
CC3678
RRMC
OH
01
—
CF7408
RRMC
OH
01
—
CN1167
RRMC
OH
Enumeration date
08/30/2006
Last updated
05/23/2008
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