KETAN TRIVEDI (NPI# 1164947123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164947123 |
| Entity Type | Individual |
| Full Name | KETAN TRIVEDI |
| Practice Address |
1086 Baxter Street Athens GA 30606 |
| Mailing Address |
1086 Baxter St Athens GA 30606-6316 |
| Practice Telephone | (678) 205-7038 |
| Mailing Telephone | 6782057038 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH022356 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205967569 | Ketan M Trivedi | Emergency Medicine | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2007-03-08 |
| 1588747885 | Ketan Hasmukhrai Trivedi | Family Medicine | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2006-10-23 |
| 1457353583 | Ketan K. Trivedi | Internal Medicine | 3580 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1764 | 2005-06-01 |
| Street Address |
1086 BAXTER STREET |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354647 | Deanna W Mcewen | Pharmacist | 1720 Epps Bridge Road, Athens, GA 30606-6132 | 2020-04-06 |
| 1770181273 | Joseph Merritt Elder | Pharmacist | 700 Highway 29 N, Athens, GA 30601-1544 | 2020-10-15 |
| 1710585203 | Kevin Burwinkel | Pharmacist | 919 E State St, Athens, OH 45701-2117 | 2020-10-15 |
| 1013515717 | Thomas Eades | Pharmacist | 2301 College Station Rd, Athens, GA 30605-6609 | 2020-10-14 |
| 1932717907 | Breanna Duff | Pharmacist | 919 E State St, Athens, OH 45701-2117 | 2020-07-16 |
| 1619504982 | Jessica Moore | Pharmacist | 700 Highway 29 N, Athens, GA 30601-1544 | 2020-03-25 |
| 1043845449 | Kevin Donald Hammond | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-03-05 |
| 1700416088 | Ryan Pinney | Pharmacist | 2301 College Station Rd, Athens, GA 30605-6609 | 2020-01-25 |
| 1659901924 | Karen Mccall | Pharmacist | 1720 Epps Bridge Pkwy, Athens, GA 30606-6132 | 2020-01-24 |
| 1083254437 | Allison Michelle Beckum | Pharmacist | 191 Alps Rd, Athens, GA 30606-4093 | 2020-01-14 |
| Find all providers in ATHENS | ||||
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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.