NPI age
19 years
Enumerated 2006-09-14
● Active
Type 1 · Individual
Temp Ray Patterson, MD
Patterson is 1 of 1 otolaryngology providers in Burley and 1 of 56 in Idaho.
Primary specialty
Otolaryngology
Plus 1 subspecialty
Licensed in
ID, HI
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-06-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 56 active otolaryngology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 80% — 19% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
1338 Hiland Ave, Suite C
Burley, ID 833181561
Mailing address
1338 Hiland Ave, Suite C
Burley, ID 833181561
Specialties
-
Otolaryngology PrimaryAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010001930 | BLUE SHIELD |
| 01 (ID) | 70219 | BLUE CROSS |
| 05 (ID) | 002796900 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.