SHRUT S PATEL (NPI# 1720436827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720436827 |
| Entity Type | Individual |
| Full Name | SHRUT S PATEL |
| Other Name | DR. SHRUT S PATEL |
| Credential | M.D. |
| Practice Address |
1000 E Mountain Blvd Wilkes Barre PA 18711-0001 |
| Practice Telephone | 5708085569 |
| Mailing Telephone | 5708085569 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MT210861 | PA | Allopathic & Osteopathic Physicians |
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
MT210861 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 245 N 15th St, 6th Floor, Philadelphia, PA 191021101 | 2157627000 | 2157627765 |
| 65 James St, Edison, NJ 088203947 | 7323217000 |
| Street Address |
1000 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292943 | Robert A Rostock | Specialist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-06-02 |
| 1396342994 | Haley Stackhouse | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-10-06 |
| 1346852670 | Nicholas John Preston | Pharmacist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-08-18 |
| 1497363816 | Ashley Hine | Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-22 |
| 1851919971 | Chelsea Pieshefski | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-07 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| 1679199848 | Gabrielle Cristina Roberts | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-23 |
| 1194341602 | Kylie Morgan Verespy | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-06-20 |
| 1346865680 | Jillian Theresa Butkiewicz | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-12 |
| 1902426711 | Belinda Sibanda | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409198 | Voya Health Medical Group, Pllc | Physical Medicine & Rehabilitation | 139 N 4th St, Lewisburg, PA 17837-1403 | 2020-08-26 |
| 1649817198 | Caitlin Ann Casey | Physical Medicine & Rehabilitation | 112 Pleasant Run Rd, Bear Creek Township, PA 18702-8523 | 2019-12-03 |
| 1588212377 | Samantha Kaiser | Physical Medicine & Rehabilitation | 633 Virginia Ave, Erie, PA 16505-4611 | 2019-08-27 |
| 1467019968 | Heather Bellum | Physical Medicine & Rehabilitation | 541 N Franklin St # 1, Shamokin, PA 17872-6754 | 2019-05-21 |
| 1689153157 | Brittany Lee Billand | Physical Medicine & Rehabilitation | 200 E Myrtle St, Littlestown, PA 17340-1339 | 2018-08-07 |
| 1194211193 | Julie Grisi | Physical Medicine & Rehabilitation | 500 E Montgomery St, Allentown, PA 18103-5225 | 2018-07-03 |
| 1386131951 | Skyler Nicole Cottrell | Physical Medicine & Rehabilitation | 1504 Woodcrest Ave, Coraopolis, PA 15108-3054 | 2018-04-18 |
| 1205340064 | Matthew John Hertz | Physical Medicine & Rehabilitation | 1100 Fowler Ave, Berwick, PA 18603-2300 | 2017-11-30 |
| 1871011882 | Nicholas Petroski | Physical Medicine & Rehabilitation | 12285 Mcnulty Rd, Philadelphia, PA 19154-1210 | 2017-08-30 |
| 1134678063 | Eliza Pham | Physical Medicine & Rehabilitation | 134 Sports Camp Dr, Woodward, PA 16882-8422 | 2016-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.