KETAN PATEL (NPI# 1679924229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679924229 |
| Entity Type | Individual |
| Full Name | KETAN PATEL |
| Credential | PA |
| Practice Address |
1390 W 16th St Yuma AZ 85364-4430 |
| Mailing Address |
2703 Coy St Apartment 6 Cincinnati OH 45219-1083 |
| Practice Telephone | 9283444325 |
| Mailing Telephone | 5136166597 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1316320864 | Ketan Patel | Student in an Organized Health Care Education/Training Program | 1136 N La Palma Park Way, Anaheim, CA 92801-2413 | 2015-07-01 |
| 1265729487 | Ketan Bhulabhai Patel | Pediatrics | 57 Butterwood Ln W, Irvington, NY 10533-2335 | 2011-07-08 |
| 1588837819 | Ketan K Patel | Pharmacist | 3 Indian Ln, Tyngsboro, MD 01879-2806 | 2008-04-08 |
| 1982713137 | Ketan C Patel | Dentist | 6112 Van Buren Blvd, Riverside, CA 92503-8003 | 2006-08-30 |
| 1699721050 | Ketan Kakalbhai Patel | Internal Medicine | 5714 Signal Hill Ct Ste C, Milford, OH 45150-1459 | 2006-05-26 |
| 1255330338 | Ketan Patel | Pharmacist | 12648 Bougainvillea Way, Riverside, CA 92503-7024 | 2005-07-20 |
| 1003814146 | Ketan P Patel | Internal Medicine | 9 Medical Pkwy, Ste 308, Dallas, TX 75234 | 2005-07-12 |
| 1447254131 | Ketan B Patel | Podiatrist | 1720 Honey Creek Commons, Ste B, Conyers, GA 30013-5826 | 2005-06-09 |
| 1245748615 | Ketan Patel | Pharmacist | 911 Highway 321 N, Lenoir City, TN 37771-6425 | 2018-01-18 |
| Street Address |
1390 W 16TH ST |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164495917 | Wade J Mcbride | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2006-02-10 |
| 1366069536 | Leanna Babb | Nurse Practitioner | 1390 W 16th St, Yuma, AZ 85364-4430 | 2020-07-02 |
| 1184263717 | Jordan Frye | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2019-12-30 |
| 1003465220 | Abby Kratzke | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2019-09-10 |
| 1821554999 | Narzahni Jordaie Crumbie | Nurse Practitioner | 1390 W 16th St, Yuma, AZ 85364-4430 | 2019-02-14 |
| 1205392651 | Hannah Ruth Kasuli | Internal Medicine | 1390 W 16th St, Yuma, AZ 85364-4430 | 2019-02-11 |
| 1609358290 | Cyrus M Ombaire | Family Medicine | 1390 W 16th St, Yuma, AZ 85364-4430 | 2018-08-30 |
| 1568914356 | Weston Wilson | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2016-10-27 |
| 1720486418 | Adrian Joseph Estrada | Nurse Practitioner | 1390 W 16th St, Yuma, AZ 85364-4430 | 2014-12-11 |
| 1477961811 | Mary Kathleen Rush | Nurse Practitioner | 1390 W 16th St, Yuma, AZ 85364-4430 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891029815 | Patricia Lizarraga Garcia | Physician Assistant | 1150 W. 24th St, #c, Yuma, AZ 85364 | 2009-09-23 |
| 1770608234 | Tami J Harmon | Physician Assistant | 4343 E 31st Place, Yuma, AZ 85365-4371 | 2007-03-20 |
| 1366531584 | Michael Lau | Physician Assistant | 1881 W 24th St Ste A, Yuma, AZ 85364-6298 | 2006-10-12 |
| 1437267424 | Gerardo Ochoa Sanchez | Physician Assistant | 1230 W 24th St Ste 1, Yuma, AZ 85364-6232 | 2006-08-29 |
| 1164495917 | Wade J Mcbride | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2006-02-10 |
| 1053307843 | Steven John Linde | Physician Assistant | 1335 S Pacific Ave, Yuma, AZ 85365-1725 | 2005-09-27 |
| 1821080821 | Kevin A. O'nan | Physician Assistant | 2775 S 8th Ave, Yuma, AZ 85364-7110 | 2005-08-17 |
| 1568914356 | Weston Wilson | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2016-10-27 |
| 1699179002 | Soba Iyeimo | Physician Assistant | 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 | 2014-10-14 |
| 1134405061 | Thomas Franklin Culwell | Physician Assistant | 2060 W 24th St, Yuma, AZ 85364-6123 | 2011-10-24 |
| Find all providers in YUMA | ||||
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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.