Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen Ray Patton, DO

Individual provider Family Medicine Physician · NPI 1922073337

Dr. Glen Ray Patton, DO is a Family Practice in Derby, Kansas. Graduated from Oklahoma State University College of Osteopathic Medicine in 1980, 46 years ago. Practices with Tanglewood Family Medical Center PA, a 9-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
46
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
KS
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

606 Mulberry Rd
Derby, KS 67037-3532
Phone: (316) 788-3787
Fax: (316) 788-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05-19924 (KS)

Record details

NPI number1922073337
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESJuly 19, 2013
Mailing address606 Mulberry Rd, Derby, KS 67037-3532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1980 (46 years in practice)
Group practice Tanglewood Family Medical Center Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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