DR. PATHIK J DESAI (NPI# 1770937500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770937500 |
| Entity Type | Individual |
| Full Name | DR. PATHIK J DESAI |
| Credential | M.D. |
| Practice Address |
1001 S Kirkwood Rd Kirkwood MO 63122-7254 |
| Mailing Address |
5616 Lawndale St Ste 108&a110 Houston TX 77023-3821 |
| Practice Telephone | 3145435970 |
| Practice Fax Number | 3148222105 |
| Mailing Telephone | 8325485000 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | S6603 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2019046134 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3811 Lyons Ave, Houston, TX 770208306 | 8325485000 | 8325485482 |
| 5598 North Fwy # A1, Houston, TX 770764702 | 8325485000 | 8325485289 |
| 5616 Lawndale St Ste 108&a110, Houston, TX 770233821 | 8325485000 | 7139210075 |
| 6550 Mapleridge St Ste 106, Houston, TX 770814629 | 8325485000 | 7136652266 |
| Street Address |
1001 S KIRKWOOD RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077006 | Ashley Nicole Glaus | Nurse Practitioner | 1001 S Kirkwood Rd, Kirkwood, MO 63122-7254 | 2020-09-11 |
| 1235790981 | Suzanne Michelle Imig | Physical Therapist | 1001 S Kirkwood Rd, Kirkwood, MO 63122-7254 | 2019-06-24 |
| 1255873204 | Holly Webb | Physical Therapy Assistant | 1001 S Kirkwood Rd, Suite 150, Kirkwood, MO 63122-7254 | 2016-11-08 |
| 1366991499 | Ciara Ferguson | Physical Therapy Assistant | 1001 S Kirkwood Rd, Kirkwood, MO 63122-7254 | 2016-09-30 |
| 1306394531 | Amy Bates | Physical Therapist | 1001 S Kirkwood Rd, Kirkwood, MO 63122-7254 | 2016-09-16 |
| 1235586694 | Regina Baldwin | Speech-Language Pathologist | 1001 S Kirkwood Rd, Suite 150, Kirkwood, MO 63122-7254 | 2016-05-16 |
| 1538599238 | Eileen Reamer | Occupational Therapy Assistant | 1001 S Kirkwood Rd, Suite 150, Kirkwood, MO 63122-7254 | 2013-11-15 |
| 1467703249 | Wittman Chiropractic Group LLC | Chiropractor | 1001 S Kirkwood Rd, Suite 160, Kirkwood, MO 63122-7254 | 2012-09-20 |
| 1114274347 | Rebecca Nehrt | Occupational Therapist | 1001 S Kirkwood Rd, Ste 150, Kirkwood, MO 63122-7254 | 2012-08-07 |
| 1891059549 | Nicholas Michael Wittman | Chiropractor | 1001 S Kirkwood Rd, Suite 160, Kirkwood, MO 63122-7254 | 2012-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1336322999 | United Medical Associates | Family Medicine | 5 Mile Point Plaza, Kirkwood, NY 13795 | 2007-12-06 |
| 1659466944 | Chandra M.r. Shekar | Family Medicine | 11040 Manchester Rd, Kirkwood, MO 63122-1244 | 2006-10-04 |
| 1306866496 | Mark D. King | Family Medicine | 455 S Kirkwood Rd, Kirkwood, MO 63122-6119 | 2006-07-20 |
| 1346215787 | Sandra K. Minchow-proffitt | Family Medicine | 103 N Taylor Ave, Ste C, Kirkwood, MO 63122-4360 | 2006-02-21 |
| 1558775924 | Alexander Meyer | Family Medicine | 816 S Kirkwood Rd Ste 210, Kirkwood, MO 63122-6056 | 2014-06-13 |
| 1790091932 | Brockman Med Corp | Family Medicine | 101 W Argonne Dr, Suite 58, Kirkwood, MO 63122-4201 | 2010-08-25 |
| 1093958647 | Chandra Shekar, PC | Family Medicine | 11040 Manchester Rd, Kirkwood, MO 63122-1244 | 2009-04-13 |
| 1174733620 | Kevin P King | Family Medicine | 816 S Kirkwood Rd Ste 210, Kirkwood, MO 63122-6056 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PATHIK J DESAI.
| 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.