POORAV JITENDRA PATEL (NPI# 1689014409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689014409 |
| Entity Type | Individual |
| Full Name | POORAV JITENDRA PATEL |
| Credential | MD, MHS |
| Practice Address |
1333 E Barnett Rd Medford OR 97504-8219 |
| Mailing Address |
2800 N. Vancouver Ave Suite 230 Portland OR 97227 |
| Practice Telephone | 5417794711 |
| Practice Fax Number | 5417790796 |
| Mailing Telephone | 5034134340 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD178702 | OR | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | MD178702 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1333 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063402634 | Charles Joseph Paradise | Nurse Anesthetist, Certified Registered | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2005-10-25 |
| 1477022259 | Anesthetic Solutions, Inc | Nurse Anesthetist, Certified Registered | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2018-11-21 |
| 1356877922 | Sara Beth Babek | Optometrist | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2017-05-02 |
| 1871976233 | Heather Marie French Friedrich | Optometrist | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2015-07-02 |
| 1598147100 | Stacey Leigh Hoins | Optometrist | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2015-06-19 |
| 1811316144 | Elizabeth Lacey Echalier | Ophthalmology | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2014-04-15 |
| 1790064921 | Benjamin Thomas Taylor | Optometrist | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2011-08-05 |
| 1821384694 | Brendan Francis Butler | Ophthalmology | 1333 E Barnett Rd, Medford, OR 97504-8219 | 2011-06-21 |
| 1306159173 | John Welling | Ophthalmology | 1333 E Barnett Rd, Medford, OR 97504 | 2010-07-21 |
| 1952622995 | Rory Murphy | Optometrist | 1333 E Barnett Rd, Medford, OR 97504 | 2010-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1245371129 | Carl Franklin Hyder | Ophthalmology | 73 South Main Street, Medford, NJ 08055 | 2007-02-12 |
| 1609913219 | Cataract and Laser Institute of Southern Oregon PC | Ophthalmology | 1408 E. Barnett Rd, Medford, OR 97504 | 2007-01-31 |
| 1124120811 | Cheryl Marie Mitchell | Ophthalmology | 128 Route 70 Ste 16b, Medford, NJ 08055-2371 | 2006-09-02 |
| 1285656124 | Karen Fung Dante | Ophthalmology | 73 S Main St, Medford, NJ 08055-2430 | 2006-07-23 |
| 1811962400 | Jeffrey S Rinkoff | Ophthalmology | 748 State St, Medford, OR 97504-8473 | 2006-02-17 |
| 1285617936 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 101 S Gibson St, Medford, WI 54451-1622 | 2005-11-28 |
| 1265413934 | Paul Norman Schultz | Ophthalmology | 1408 E Barnett Rd, Medford, OR 97504-8279 | 2005-11-09 |
| 1528052271 | John G Apostol | Ophthalmology | 815 E Main St, Medford, OR 97504-7133 | 2005-09-08 |
| Find all providers in MEDFORD | ||||
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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.