DIPALI SANDIP MEHTA (NPI# 1588824031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588824031 |
| Entity Type | Individual |
| Full Name | DIPALI SANDIP MEHTA |
| Credential | AA |
| Practice Address |
1781 Metromedical Dr Fayetteville NC 28304-3862 |
| Mailing Address |
100 Technology Dr Suite A Asheville NC 28803-5008 |
| Practice Telephone | 9106096440 |
| Mailing Telephone | 8287715222 |
| Mailing Fax Number | 8287715253 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 100000163 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA ANESTHESIOLOGIST ASSISTANT LICENSE | 1000-00163 | 01 |
| Street Address |
1781 METROMEDICAL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706238 | Jami L. Adams | Nurse Anesthetist, Certified Registered | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2005-08-09 |
| 1497919682 | Emi Denise Taylor Hewitt | Anesthesiologist Assistant | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2008-07-16 |
| 1598808990 | Rolf Bolin Wallin | Anesthesiology | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2007-02-15 |
| 1558404954 | Brad Arthur Richter | Anesthesiology | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2007-02-15 |
| 1144362864 | Fayetteville Anesthesia, Pa | Nurse Anesthetist, Certified Registered | 1781 Metromedical Dr, Fayetteville, NC 28304-3424 | 2007-02-12 |
| 1609926393 | Eileen Marie Meyer | Nurse Anesthetist, Certified Registered | 1781 Metromedical Dr, Fayetteville Ambulatory Surgery Center, Fayetteville, NC 28304 | 2007-01-12 |
| 1285725416 | Ivelca Nintzel | Nurse Anesthetist, Certified Registered | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2006-09-26 |
| 1700843208 | Fayetteville Ambulatory Surgery Center Limited Partnership | Clinic/Center | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2006-04-27 |
| 1538134085 | Frederick Bowen Payne Jr. | Anesthesiology | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2006-02-20 |
| 1114929049 | Margarette T Dunn | Nurse Anesthetist, Certified Registered | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 2005-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053630392 | Michael D Keats | Anesthesiologist Assistant | 1255 Highway 54 West, Fayetteville, GA 30214-4548 | 2010-05-26 |
| 1518575737 | Lillie La Marre | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-07-14 |
| 1932723285 | Janam Nilesh Patel | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2020-06-02 |
| 1104484567 | Jessica Ashe Lewis | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2019-05-31 |
| 1073079182 | Christopher Robert Brown | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2019-02-13 |
| 1205322302 | Joshua Gordon | Anesthesiologist Assistant | 1255 Ga-54, Fayetteville, GA 30214 | 2018-07-02 |
| 1326532771 | Cheyenne Marie Lukstein | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-06-19 |
| 1407344237 | Stewart T Weisheit | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2018-04-26 |
| 1598133548 | Virginia Trogdon | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2015-09-08 |
| 1003284498 | Danielle Duncan | Anesthesiologist Assistant | 1255 Highway 54 W, Fayetteville, GA 30214-4526 | 2015-09-02 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on DIPALI SANDIP MEHTA.
| 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.