MRS. MUKTI B PATEL (NPI# 1164492864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492864 |
| Entity Type | Individual |
| Full Name | MRS. MUKTI B PATEL |
| Credential | PA-C |
| Practice Address |
5051 Se 110th St Belleview FL 34420-3115 |
| Mailing Address |
14655 Galaxie Ave Apple Valley MN 55124-8575 |
| Practice Telephone | 3522459157 |
| Practice Fax Number | 3522453031 |
| Mailing Telephone | 9524326161 |
| Mailing Fax Number | 9524327019 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103092 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292223100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336670678 | Mukti Patel | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 City Drive, City Tower Ste 400, Orange, CA 92868-3217 | 2017-03-27 |
| 1356801021 | Mukti Patel | Student in an Organized Health Care Education/Training Program | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2019-03-20 |
| 1730464322 | Mukti Patel | Pharmacist | 12240 N May Ave, Oklahoma City, OK 73120-6803 | 2011-10-14 |
| 1083932990 | Mukti Patel | Family Medicine | 202 Pomfret St, Putnam, CT 06260-1833 | 2010-05-17 |
| Street Address |
5051 SE 110TH ST |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758799 | Stephen Edward Fischer | Internal Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2005-08-24 |
| 1942628649 | Brittany J Vogt | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2014-04-01 |
| 1336349893 | Nira Colyn | Internal Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2007-07-23 |
| 1629165329 | Patrick J Justiz | Family Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-10-06 |
| 1578541223 | Susan E. Bonenclark | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-01-04 |
| 1396731519 | Joseph C Hildner Md Inc | Family Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1083178313 | Sheila Bush | Technician | 12791 Se 47th Ave, Belleview, FL 34420 | 2019-01-31 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| Find all providers in zip 34420 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689614711 | Robert Main | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-06-07 |
| 1275597320 | Harriett Williemae Smith-mckinney | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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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.