MR. PALAK JITENDRA PATEL (NPI# 1922367572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922367572 |
| Entity Type | Individual |
| Full Name | MR. PALAK JITENDRA PATEL |
| Credential | MD |
| Practice Address |
97825 Shopping Center Ave Brookings OR 97415-9403 |
| Mailing Address |
Po Box 2742 Harbor OR 97415-0326 |
| Practice Telephone | 7074129800 |
| Practice Fax Number | 7074129600 |
| Mailing Telephone | 5414129800 |
| Mailing Fax Number | 5414129600 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
142046 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD176416 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1280 Marshall St, Crescent City, CA 955312217 | 7074646151 | |
| 97825 Shopping Center Ave, Brookings, OR 97415 | 5414129800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033746623 | Palak Patel | Student in an Organized Health Care Education/Training Program | 1450 Madison Ave Fl 8, New York, NY 10029-6508 | 2020-03-24 |
| 1003476771 | Palak Patel | Dentist | 18175 Goesel Dr, Tinley Park, IL 60487-8668 | 2019-06-16 |
| 1285125252 | Palak Patel | Physical Medicine & Rehabilitation | 115 Old Short Hills Rd Apt 484, West Orange, NJ 07052-1045 | 2018-05-24 |
| 1194267120 | Palak Patel | Physical Therapist | 327 E Rimini Ct, Palatine, IL 60067-3629 | 2016-11-08 |
| 1669926358 | Palak Patel | Nurse Practitioner | 5506 Waverdale Ct, Sugar Land, TX 77479-5380 | 2016-08-10 |
| 1568824118 | Palak Patel | Pediatrics | 10420 Louetta Rd Ste 104, Houston, TX 77070-2194 | 2016-03-23 |
| 1346682077 | Palak J Patel | Dentist | 4310 S Pulaski Rd, Chicago, IL 60632-4009 | 2013-07-23 |
| 1114294105 | Palak Patel | Pharmacist | 67 Village Ln, Apt 617, Wethersfield, CT 06109-4632 | 2011-11-19 |
| 1043811151 | Palak S Patel | Pharmacist | 8915 N Allen Rd, Peoria, IL 61615-1534 | 2020-11-04 |
| 1265032403 | Palak R Patel | Pharmacist | 3621 William Penn Hwy, Monroeville, PA 15146-2122 | 2020-10-27 |
| Street Address |
97825 SHOPPING CENTER AVE |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668230 | Jitendra C Patel | Internal Medicine | 97825 Shopping Center Ave, Brookings, OR 97415 | 2005-06-10 |
| 1316555428 | Chetco Medical & Aesthetics LLC Jitendra C Patel Mbr | Internal Medicine | 97825 Shopping Center Ave, Brookings, OR 97415-9403 | 2020-07-15 |
| 1699256198 | Palak J Patel | Family Medicine | 97825 Shopping Center Ave, Brookings, OR 97415-9403 | 2018-08-23 |
| 1487132379 | Jody Renee Crabtree | Physician Assistant | 97825 Shopping Center Ave, Brookings, OR 97415-9403 | 2018-08-01 |
| 1043271687 | James Thomas Norland | Internal Medicine | 97825 Shopping Center Ave, Brookings, OR 97415 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668230 | Jitendra C Patel | Internal Medicine | 97825 Shopping Center Ave, Brookings, OR 97415 | 2005-06-10 |
| 1316555428 | Chetco Medical & Aesthetics LLC Jitendra C Patel Mbr | Internal Medicine | 97825 Shopping Center Ave, Brookings, OR 97415-9403 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326450651 | Neha Rupal Naik | Internal Medicine | 2925 River Road South, Suite 110, Salem, OR 97302 | 2014-05-21 |
| 1346526548 | Geriatric and Nursing Home | Internal Medicine | 441 Silverado Cir, Medford, OR 97504-8167 | 2011-11-01 |
| 1831353226 | Sonal Sonia Thakur | Internal Medicine | 19565 Aster Ln, Bend, OR 97702-2111 | 2008-07-15 |
| 1093916470 | Kellie Rooney Foster | Internal Medicine | 2710 Nw Vaughn St, Suite 160, Portland, OR 97210-5344 | 2007-05-31 |
| 1447310859 | Karen Kruse | Internal Medicine | 8200 Se Barbara Welch Rd, Portland, OR 97236-5335 | 2006-12-08 |
| 1083729214 | Stephen Arnold Ebert | Internal Medicine | 2701 Nw Vaughn St., Suite 160, Portland, OR 97201 | 2006-08-20 |
| 1326152935 | Frances May Yuhas | Internal Medicine | 818 W 6th St Ste 4, The Dalles, OR 97058-1147 | 2006-08-19 |
| 1609892736 | Paul Gowen | Internal Medicine | 3635 Ne Alameda St, Portland, OR 97212-1812 | 2006-07-14 |
| 1669418810 | Douglas Reed Grossnickle | Internal Medicine | 10373 Ne Hancock, Suite 219, Portland, OR 97220 | 2006-06-22 |
| 1821030552 | Steven Delashmutt | Internal Medicine | 3640 H St, Baker City, OR 97814-1278 | 2006-06-10 |
| Find all providers with the same taxonomy | ||||
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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.