DR. SIDDHARTH PATEL (NPI# 1104147891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104147891 |
| Entity Type | Individual |
| Full Name | DR. SIDDHARTH PATEL |
| Credential | M.D. |
| Practice Address |
1111 Medical Center Cir Mayfield KY 42066-1194 |
| Practice Telephone | 2702514045 |
| Practice Fax Number | 2702514049 |
| Mailing Telephone | 2702514045 |
| Mailing Fax Number | 2702514049 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2016-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 49352 | KY | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
49352 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2329502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649540493 | Siddharth Patel | Pharmacist | 3512 Majestic View Dr, Lutz, FL 33558-5046 | 2012-01-11 |
| 1730538505 | Siddharth Patel | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2016-06-12 |
| 1992187439 | Siddharth Hasmukhbhai Patel | Internal Medicine | 1201 7th St Se, Decatur, AL 35601 | 2015-06-21 |
| 1821001066 | Siddharth A Patel | Surgery | 980 Johnson Ferry Rd, Ste 1040, Atlanta, GA 30342-1626 | 2006-08-15 |
| Street Address |
1111 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162458 | Joseph C. Slaughter | Internal Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2005-05-24 |
| 1992254288 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-09-27 |
| 1114383981 | Jennifer L Carrico | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2016-01-11 |
| 1902189491 | Michelle Ann Jewell | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066 | 2011-09-21 |
| 1912216532 | Pinelake Physician Practice LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-09-30 |
| 1255650479 | Pinelake Physician Practice LLC | Otolaryngology | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2010-05-27 |
| 1942535281 | Pinelake Physician Practice, LLC | Durable Medical Equipment & Medical Supplies | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-10-05 |
| 1346478344 | Pooja Parshotam Makhija | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-06-29 |
| 1972738839 | Pinelake Physician Practice, LLC | Surgery | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-21 |
| 1295960532 | Pinelake Physician Practice, LLC | Family Medicine | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598010530 | Walid Hanafi | Pediatrics | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2012-07-16 |
| 1306139332 | Michael W Purcell | Pediatrics | 2497 State Highway 30, Mayfield, NY 12117-3495 | 2011-05-24 |
| 1346478344 | Pooja Parshotam Makhija | Pediatrics | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2009-06-29 |
| 1477795086 | Jackson Purchase Pediatrics, Pllc | Pediatrics | 1029 Medical Center Cir, Suite 200, Mayfield, KY 42066-1189 | 2009-03-27 |
| 1164620340 | Abid Hussain | Pediatrics | 417 S 6th St, Mayfield, KY 42066-2311 | 2007-07-10 |
| 1891892741 | Pinelake Regional Hospital LLC | Pediatrics | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
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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.