MRS. SHAJADI PATAN (NPI# 1073921169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073921169 |
| Entity Type | Individual |
| Full Name | MRS. SHAJADI PATAN |
| Credential | M.D. |
| Practice Address |
201 Park St Bowling Green KY 42101-1708 |
| Practice Telephone | 2707833369 |
| Practice Fax Number | 2707800474 |
| Mailing Telephone | 2707833369 |
| Mailing Fax Number | 2707800474 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
53934 | KY | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
TP107 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100666670 | 05 |
| Street Address |
201 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1760096200 | Ryan Michael Beard | Physical Therapist | 201 Park St, Bowling Green, KY 42101-1708 | 2020-09-02 |
| 1881204162 | Kristian Patricia Lee | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-08-03 |
| 1184232548 | Amy Pendleton Brown | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-07-21 |
| 1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
| 1598304040 | Rachel Paige Houchen | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2020-01-02 |
| 1245875996 | Christie Finney | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2019-11-16 |
| 1164077988 | Jeremy Darnell | Physical Therapy Assistant | 201 Park St, Bowling Green, KY 42101-1742 | 2019-08-08 |
| 1790246130 | Jamie Powers | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184843369 | Vidya Seshadri | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1759 | 2007-04-25 |
| 1780771824 | Pamela Ann Smith | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1759 | 2006-10-09 |
| 1386675395 | Catherine G Heltsley | Internal Medicine | 1325 Andrea St, Ste 107, Bowling Green, KY 42104 | 2006-07-06 |
| 1295731362 | Steven Smith | Internal Medicine | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225576523 | Rafiq U Rahman Md Psc | Internal Medicine | 101 Financial Pl Ste B103, Elizabethtown, KY 42701-8450 | 2017-02-07 |
| 1659823573 | Covenant Oncology & Hematology LLC | Internal Medicine | 93 C. Michael Davenport Blvd, Suite 2, Frankfort, KY 40601-9702 | 2016-10-26 |
| 1184018285 | James Mobley | Internal Medicine | 800 Rose St Ste Cc-402, Lexington, KY 40536-0293 | 2015-03-26 |
| 1770837270 | Chaitanya Iragavarapu | Internal Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0293 | 2012-11-05 |
| 1285999284 | Surabhi Pathak | Internal Medicine | 613 23rd St Ste 19, Ashland, KY 41101-2878 | 2012-07-06 |
| 1427316900 | Ryan Woods | Internal Medicine | University of Kentucky Gme, 800 Rose St. Room Hq-101, Lexington, KY 40536-0293 | 2012-05-02 |
| 1730447814 | Natalie W. Harper | Internal Medicine | 521 Robinbrooke Blvd, Elizabethtown, KY 42701-5904 | 2012-04-26 |
| 1083938542 | Metro Hematology Oncology, Pllc | Internal Medicine | 3620 Wynbrooke Cir, Louisville, KY 40241 | 2010-03-26 |
| 1477743938 | Suzanne Jeannette Brown | Internal Medicine | 102 Physicians Blvd, Glasgow, KY 42141-1299 | 2007-07-30 |
| 1417082470 | Jamie Bunch Jarboe | Internal Medicine | 1100 Brookhaven Rd Ste 103, Franklin, KY 42134-2746 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.