DR. JAIMIN PATEL (NPI# 1720262207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720262207 |
| Entity Type | Individual |
| Full Name | DR. JAIMIN PATEL |
| Credential | M.D |
| Practice Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Practice Telephone | 8508621111 |
| Mailing Telephone | 8508621111 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
ME104797 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 001308 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001320000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974188 | Jaimin Patel | Pharmacist | 2280 N Las Vegas Blvd, North Las Vegas, NV 89030-5803 | 2020-08-24 |
| 1629607445 | Jaimin Jeetendra Patel | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2020-04-03 |
| 1992239701 | Jaimin Hiteshkumar Patel | Internal Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2017-04-18 |
| 1326402249 | Jaimin Patel | Internal Medicine | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2016-04-06 |
| 1073980579 | Jaimin Patel | Student in an Organized Health Care Education/Training Program | 3100 Highway 28 E, Pineville, LA 71360-5702 | 2015-08-31 |
| 1609261932 | Jaimin Patel | Internal Medicine | 2055 E South Blvd, Suite 202, Montgomery, AL 36116-2001 | 2015-04-02 |
| 1538509310 | Jaimin Patel | Pharmacist | 3881 Mexico Rd, T-1280, Saint Charles, MO 63303-3042 | 2013-06-26 |
| 1295019792 | Jaimin Patel | Pharmacist | 786 Saint Georges Ave, Rahway, NJ 07065-2627 | 2011-10-03 |
| 1184923708 | Jaimin Rameshbhai Patel | Internal Medicine | 2093 Henry Tecklenburg Dr Ste 300e, Charleston, SC 29414-5743 | 2011-03-22 |
| 1104036656 | Jaimin M Patel | Pediatrics | 2500 N State St, Neonatal Intensive Care Unit, Jackson, MS 39216-4500 | 2007-05-23 |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779389 | Hien Dao | Emergency Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2005-06-09 |
| 1619578663 | Noles Medical Services Inc | Clinic/Center | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-11-05 |
| 1629686878 | Eric Daniel Hinojosa | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-07-14 |
| 1548889215 | Jennifer D Grady | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-04-13 |
| 1578194247 | Laura Pavel Ketelsen | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2020-01-30 |
| 1508422106 | Jamie Marie Herndon | Registered Nurse | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-05-20 |
| 1801354477 | Victoria Ann Miles-nance | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-03-03 |
| 1447723457 | Jolyn Marie Pelesky | Nurse Anesthetist, Certified Registered | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2019-01-03 |
| 1346718442 | Hannah Beth Webster | Nurse Practitioner | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-11-06 |
| 1104301332 | Nicholas Joseph Dokianos | Internal Medicine | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224259 | Excalibur Telemedical Services | Emergency Medicine | 405 Waterford Ln, Gulf Breeze, FL 32561-4872 | 2020-04-16 |
| 1225694953 | Good Care Rehab& Wellness Inc | Emergency Medicine | 885 N Powers Dr Ste B, Orlando, FL 32818-6842 | 2019-05-17 |
| 1568994556 | Hillard L Chemers | Emergency Medicine | 16145 Craigend Pl, Odessa, FL 33556-2818 | 2017-03-30 |
| 1790195469 | Albert Carl Maier | Emergency Medicine | 358 County Road 207a, East Palatka, FL 32131-4145 | 2014-05-05 |
| 1710319413 | Holy Cross Hospital, Inc | Emergency Medicine | 1115 S Federal Hwy, Ft Lauderdale, FL 33316-1256 | 2013-08-05 |
| 1790035921 | Elizabeth Hernandez | Emergency Medicine | 17121 Sw 281st St, Homestead, FL 33030-1905 | 2012-09-14 |
| 1821377201 | Urgent Care Physicians of Kendale Lakes LLC | Emergency Medicine | 14661 Sw 56 Street, Miami, FL 33175 | 2011-08-16 |
| 1316231608 | George T Besong Md Ob/gyn LLC | Emergency Medicine | 2728 Enterprise Rd, Suite 200, Orange City, FL 32763-8276 | 2011-06-03 |
| 1265662126 | Quick Care Med LLC | Emergency Medicine | 1907 Highway 44 W, Inverness, FL 34453-3801 | 2009-07-24 |
| 1578705273 | Laurie Ann Romig | Emergency Medicine | 8250 32nd Ave N, St Petersburg, FL 33710-2212 | 2009-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.