Provider Demographics
NPI:1528269354
Name:PATTERSON, BETSY (MD)
Entity type:Individual
Prefix:DR
First Name:BETSY
Middle Name:
Last Name:PATTERSON
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 1:18099 LORAIN AVE
Mailing Address - Street 2:429
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-5610
Mailing Address - Country:US
Mailing Address - Phone:216-476-7912
Mailing Address - Fax:216-476-7906
Practice Address - Street 1:18099 LORAIN AVE
Practice Address - Street 2:429
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-5610
Practice Address - Country:US
Practice Address - Phone:216-476-7912
Practice Address - Fax:216-476-7906
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35091954207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00793369OtherRAILROAD CARE
OH2852202Medicaid
OH7390332Medicare PIN
OHP00793369OtherRAILROAD CARE
OH7390331Medicare PIN