PRAVIN R PATEL MD. (NPI# 1679613525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679613525 |
| Entity Type | Organization |
| Organization Name | PRAVIN R PATEL MD. |
| Other Organization Name | CLIO MEDICAL CENTER |
| Practice Address |
200 Main St Clio SC 29525 |
| Practice Telephone | 8435862292 |
| Mailing Telephone | 8435862292 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | MR. PRAVIN R PATEL (PHYSICIAN) |
| Authorized Official Telephone | 8435862292 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
113139 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3103 | 05 |
| Other Name | Type Code |
|---|---|
| CLIO MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
200 MAIN ST |
| City | CLIO |
| State | SC |
| Zip Code | 29525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774125 | Clio Medical Center,inc | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| 1215973532 | Pravin R Patel | Family Medicine | 200 Main St, Clio, SC 29525 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871739698 | Ronald Jerome Mclaughlin | Transportation Broker | 201a College Street, Clio, SC 29525 | 2008-12-29 |
| 1811311020 | Joseph Kinney | Social Worker | 108 North Main Street, Clio, SC 29525 | 2014-02-07 |
| 1386986859 | Ehealth Medical Systems | Emergency Response System Companies | 200 N Main St, Clio, SC 29525 | 2013-03-22 |
| 1851694517 | Priyan Samarakoon Pllc | Anesthesiology | 200 North Main Street, Clio, SC 29525 | 2010-12-17 |
| 1619517133 | Ehealth Medical Systems | General Practice | 200 N Main St, Clio, SC 29525-3001 | 2020-01-13 |
| 1588138739 | Natacha Deshawn Walker | Nurse Practitioner | 200 N Main St, Clio, SC 29525-3001 | 2019-01-21 |
| 1023285665 | Rima Patel | Internal Medicine | 200 N Main St, Clio, SC 29525-3001 | 2008-05-13 |
| 1982838082 | Amber Woodberry Hughes | Contractor | 2000 Hebron Dunbar Rd, Clio, SC 29525-3415 | 2009-05-05 |
| 1528485356 | Margaret Newton Freeman | Occupational Therapist | 3757 Hebron Dunbar Rd, Clio, SC 29525-3640 | 2014-03-18 |
| 1629619689 | Sonja Jordan-phillips | Home Health | 5330 Terry Rd, Clio, SC 29525-4221 | 2019-10-01 |
| Find all providers in zip 29525 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285774125 | Clio Medical Center,inc | Family Medicine | 200 Main St, Clio, SC 29525 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829218 | Burnt Church Primary and Urgent Care, LLC | Family Medicine | 1 Burnt Church Rd, Bluffton, SC 29910-6405 | 2006-09-11 |
| 1528556362 | Hollie Elizabeth Ables | Family Medicine | 2000 E Greenville St Ste 3700, Anderson, SC 29621-1725 | 2018-04-26 |
| 1184075640 | William Kliphpatrick Love | Family Medicine | 853 N Church St Ste 510, Spartanburg, SC 29303-3077 | 2016-06-27 |
| 1821460395 | Ghs Partners In Health, Inc. | Family Medicine | 717 Se Main St, Simpsonville, SC 29681-3237 | 2015-10-23 |
| 1871924167 | Focus Sc 1009, LLC | Family Medicine | 900 Bowman Rd, Suite 303, Mt Pleasant, SC 29464 | 2013-12-11 |
| 1689840514 | James Alan Henderson | Family Medicine | 2750 Laurel St, Suite 103, Columbia, SC 29204-2038 | 2008-04-30 |
| 1922022417 | Adolescent Medicine Associates | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-27 |
| 1528089240 | Charles Murry Thompson | Family Medicine | 900 Bowman Rd, Suite 304, Mt Pleasant, SC 29464-3203 | 2006-07-21 |
| 1508830217 | Palmetto Primary Care Physicians | Family Medicine | 104 Funk Ave, Saint Stephen, SC 29479-3383 | 2006-02-17 |
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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.