DATTATRAYA S PRAJAPATI (NPI# 1912996661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912996661 |
| Entity Type | Individual |
| Full Name | DATTATRAYA S PRAJAPATI |
| Credential | MD |
| Practice Address |
1000 Breckenridge St Suite 400 Owensboro KY 42303-0839 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2706883445 |
| Practice Fax Number | 2706883344 |
| Mailing Telephone | 2706883445 |
| Mailing Fax Number | 2706883344 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
21298 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100004270 | 05 | |
| KY | 64212988 | 05 |
| Street Address |
1000 BRECKENRIDGE ST SUITE 400 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972346 | Tristan Sta.elena Briones | Radiology | 1000 Breckenridge St, Suite 203, Owensboro, KY 42303-0839 | 2005-06-17 |
| 1659741056 | Tisha L Higgs | Nurse Practitioner | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2015-09-29 |
| 1336529494 | Owensboro Health Medical Group Inc | Internal Medicine | 1000 Breckenridge St, Suite 400, Owensboro, KY 42303-0839 | 2015-06-04 |
| 1043604168 | Owensboro Health Medical Group Inc | Pain Medicine | 1000 Breckenridge St, Suite 205, Owensboro, KY 42303-0839 | 2015-03-26 |
| 1558794537 | Owensboro Health Medical Group, Inc | General Practice | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2013-08-14 |
| 1154661569 | Owensboro Health Medical Group, Inc | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2013-02-21 |
| 1265798979 | Nicole Elizabeth Davis | Pediatrics | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-04-06 |
| 1609141589 | Sarah D. Osborne | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2012-03-12 |
| 1588960397 | Candace Brooke Dulabh | Physician Assistant | 1000 Breckenridge St, Suite 401, Owensboro, KY 42303-0839 | 2011-01-27 |
| 1417265836 | Lindie Lee Unsel | Nurse Practitioner | 1000 Breckenridge St, Suite 300, Owensboro, KY 42303-0839 | 2010-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671166 | Richard Louis Gruenewald | Internal Medicine | 3638 Treehaven Bnd, Owensboro, KY 42303-1785 | 2006-05-27 |
| 1730231887 | Owensboro Cancer Center Psc | Internal Medicine | 1020 Breckenridge St, Ste 200, Owensboro, KY 42303-1784 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679801435 | Peng Wang | Internal Medicine | 800 Rose St # Cc401b, Div of Medical Oncology, Lexington, KY 40536-0093 | 2009-12-04 |
| 1619112042 | Mohammed Aijaz Shareef | Internal Medicine | 2501 Kentucky Ave Ste 201, Paducah, KY 42003-3813 | 2008-12-15 |
| 1720176522 | Hematology Oncology Physicians East Kentucky Psc | Internal Medicine | 2737 North Laurel Road, London, KY 40741 | 2006-10-10 |
| 1326132457 | Ralph G. Zinner | Internal Medicine | Head, Neck and Respiratory Clinic, 800 Rose Street, 2nd Floor, Lexington, KY 40536-0293 | 2006-10-03 |
| 1922520808 | 21st Century Oncology of Kentucky LLC | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2017-07-12 |
| 1366715435 | Baptist Physicians Lexington, Inc | Internal Medicine | 1780 Nicholasville Rd, Suite 101, Lexington, KY 40503-1400 | 2012-02-20 |
| 1831462548 | Oncology Hematology Care, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2012-02-13 |
| 1932476330 | Saint Joseph Health System | Internal Medicine | 701 Bob O Link Dr, Ste 120, Lexington, KY 40504-3759 | 2011-11-30 |
| 1730490152 | Kamlesh Prem Sajnani | Internal Medicine | 37 Ball Park Rd, Harlan, KY 40831-1701 | 2010-06-30 |
| 1013141431 | Kent Edward Taylor | Internal Medicine | 1140 Lexington Rd, Suite 202, Georgetown, KY 40324-9330 | 2009-05-13 |
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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.