Provider Demographics
NPI:1386684959
Name:PATTON, ANNA G (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:G
Last Name:PATTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-1595
Mailing Address - Country:US
Mailing Address - Phone:606-408-4000
Mailing Address - Fax:
Practice Address - Street 1:4004 LOUISA RD
Practice Address - Street 2:
Practice Address - City:CATLETTSBURG
Practice Address - State:KY
Practice Address - Zip Code:41129-1091
Practice Address - Country:US
Practice Address - Phone:606-739-6095
Practice Address - Fax:606-739-8252
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64063881Medicaid
OH2710516Medicaid
WV3004427000Medicaid
KYP00373248OtherRR MEDICARE
KY0586640Medicare PIN
KYP00373248OtherRR MEDICARE