DR. KIRAN PATEL (NPI# 1255334959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255334959 |
| Entity Type | Individual |
| Full Name | DR. KIRAN PATEL |
| Credential | MD |
| Practice Address |
303 North Clyde Morris Bl Halifax Health Medical Center Daytona Beach FL 32114-2709 |
| Practice Telephone | 3862382285 |
| Practice Fax Number | 3864251304 |
| Mailing Telephone | 3862382285 |
| Mailing Fax Number | 3864251304 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MD.37626 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME88393 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 1255334959 | 05 | |
| FL | 275490800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4370 W Main St, Dothan, AL 363051056 | 6159286268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727502 | Kiran Ashok Patel | Student in an Organized Health Care Education/Training Program | 4050 W Pine Blvd Apt 3311b, Saint Louis, MO 63108-3294 | 2020-03-30 |
| 1164760302 | Kiran P Patel | Pharmacist | 1021 Overlook Dr, Villa Rica, GA 30180-5806 | 2013-01-23 |
| 1871793174 | Kiran Patel | Dentist | 114 River Pointe Way, Apartment 6206, Lawrence, MA 01843-3854 | 2007-07-24 |
| 1992891170 | Kiran Rana Patel | Physical Medicine & Rehabilitation | 650 W. Bough Lane, Suite 150-127, Houston, TX 77024 | 2006-10-05 |
| 1891350666 | Kiran Harish Patel | Pharmacist | 2858 Loker Ave E Ste 100, Carlsbad, CA 92010-6673 | 2019-05-07 |
| 1962899435 | Kiran Patel | Internal Medicine | 2001 W 86th St, Indianapolis, IN 46260 | 2015-04-22 |
| 1841619509 | Kiran Gadani Patel | Pediatrics | 170 William St, New York, NY 10038-2612 | 2014-04-10 |
| 1073956322 | Kiran Chandrakant Patel | Psychiatry & Neurology | 9139 Ridgeline Blvd, Highlands Ranch, CO 80129-2333 | 2013-04-16 |
| 1982990420 | Kiran A Patel | Internal Medicine | 700 S Park St, Madison, WI 53715-1830 | 2011-06-23 |
| 1699087742 | Kiran Patel | Pediatrics | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2010-07-06 |
| Street Address |
303 NORTH CLYDE MORRIS BL HALIFAX HEALTH MEDICAL CENTER |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609018092 | John Hunter Protheroe | Physician Assistant | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2009-03-31 |
| 1528265949 | Carson Bauder | Family Medicine | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2007-06-29 |
| 1801811120 | James Patrick Marcum | Physician Assistant | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-07-13 |
| 1285687459 | Alexander White | Family Medicine | 303 North Clyde Morris Bl, Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063178 | Jordann Wood | Family Medicine | 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117-7131 | 2019-10-01 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| 1245636042 | Dr Ejaz Ahmed Md Pa | Family Medicine | 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730 | 2014-11-06 |
| 1063703833 | Brittany O'dwyer Newton | Family Medicine | 201 N Clyde Morris Blvd Ste 210, Daytona Beach, FL 32114-2765 | 2011-04-27 |
| 1548498561 | Ayodeji Ladele | Family Medicine | 1410 Lpga Blvd Ste 136, Daytona Beach, FL 32117-5146 | 2009-06-29 |
| 1417182932 | Phillip Michael Mele Jr. | Family Medicine | 331 Williams Ave, Daytona Beach, FL 32118-3339 | 2009-05-28 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1265658744 | Jessika Gil-pineda | Family Medicine | 1300 Red John Dr, Daytona Beach, FL 32124-1075 | 2007-04-17 |
| 1548381049 | Andrew Jonathan Niewald | Family Medicine | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2007-04-02 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.