NITIN C PATEL MD LLC (NPI# 1255776704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776704 |
| Entity Type | Organization |
| Organization Name | NITIN C PATEL MD LLC |
| Other Organization Name | COLUMBIA CENTER FOR CHILD NEUROLOGY |
| Practice Address |
1100 Club Village Dr Ste 102 Columbia MO 65203-4411 |
| Practice Telephone | 5734474400 |
| Practice Fax Number | 5733030140 |
| Mailing Telephone | 5734474400 |
| Mailing Fax Number | 5733030140 |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2016-05-03 |
| Authorized Official Name | NITIN C PATEL (M.D.) |
| Authorized Official Telephone | 5734420940 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
113716 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
113716 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208870808 | 05 | |
| PR MEDICARE | 370009866 | 01 |
| Other Name | Type Code |
|---|---|
| Columbia Center for Child Neurology | Doing Business As Name - Organization |
| Street Address |
1100 CLUB VILLAGE DR STE 102 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922087121 | Central Missouri Nephrology Associates,llc | Internal Medicine | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2006-01-16 |
| 1235448788 | Leah Newmark | Dietitian, Registered | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2010-10-01 |
| 1679594535 | Hb Therapeutic Services, LLC | Social Worker | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2006-07-23 |
| 1821028895 | Heidi Annette Blackstun | Social Worker | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| 1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1780061234 | Alex Mirzoev | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2015-05-05 |
| 1770997108 | Nimit Nakul Patel | Psychiatry & Neurology | 8 Medical Park, Ste 420, Neurology Dept, Columbia, SC 29203 | 2014-06-13 |
| 1497195390 | Ravish Ashokkumar Kothari | Psychiatry & Neurology | 8 Med Park Ste 420, Neurology, Columbia, SC 29203 | 2013-06-25 |
| Find all providers in COLUMBIA | ||||
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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.