Ketul R Patel
BORLAND-GROOVER CLINIC PA


Address: 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Phone: 3867881242

Ketul R Patel (NPI# 1336262146, PAC ID# 0345499869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1336262146
PAC ID by PECOS 0345499869
Professional Enrollment ID I20120927000153
Full Name Ketul R Patel
Organization Legal Name BORLAND-GROOVER CLINIC PA
Address 3635 S Clyde Morris Blvd
Suite 100
Port Orange
FL 32129-2349
Phone Number 3867881242
Gender M
Graduation Year 2005
Primary Specialty GASTROENTEROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 6507761301
Number of Group Practice Members 76
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100068 FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER
100017 HALIFAX HEALTH MEDICAL CENTER

Other Locations

Address Phone Organization
836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 9042880433 BORLAND-GROOVER CLINIC PA
305 Clyde Morris Blvd, Suite 270, Ormond Beach, FL 32174-8182 3867881242 BORLAND-GROOVER CLINIC PA
3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 3867881242 BORLAND-GROOVER CLINIC PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name BORLAND-GROOVER CLINIC PA
Physicians 83

Physicians with the same organization

Name Specialty Organization Address
Vrushak N Deshpande Gastroenterology Borland-groover Clinic Pa 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Bharat K Misra Gastroenterology Borland-groover Clinic Pa 3627 University S Blvd, Suite 705, Jacksonville, FL 32216-7403
Daniel A Scharifker Pathology Borland-groover Clinic Pa 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6528
Robert M Aportela Pathology Borland-groover Clinic Pa 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335
Michael Ibach Gastroenterology Borland-groover Clinic Pa 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335
Grant T Whittaker Gastroenterology Borland-groover Clinic Pa 4800 Belfort Rd, Jacksonville, FL 32256-6004
Nassim Youssef El Hajj Gastroenterology Borland-groover Clinic Pa 4800 Belfort Rd, Jacksonville, FL 32256-6004
Shenelle Davis Paulson Nurse Practitioner Borland-groover Clinic Pa 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780
Jennifer F Marzoug Nurse Practitioner Borland-groover Clinic Pa 4800 Belfort Rd, Jacksonville, FL 32256-6004
Jeffrey S Hoffman Gastroenterology Borland-groover Clinic Pa 4800 Belfort Rd, Jacksonville, FL 32256-6004

Office Location

Street Address 3635 S CLYDE MORRIS BLVD
SUITE 100
City PORT ORANGE
State FL
Zip 32129-2349

Physicians in the same location

Name Specialty Organization Address
Vrushak N Deshpande Gastroenterology Borland-groover Clinic Pa 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Tamara Ray Clancy Hand Surgery Volusia Hand Surgery Clinic Pa 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352
Michel C Samson Plastic and Reconstructive Surgery 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2349
Charles B Williamson Orthopedic Surgery 3635 S Clyde Morris Blvd, Suite 600, Port Orange, FL 32129-2353
Katie Weisz Physician Assistant Borland-groover Clinic Pa 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Sarah E Henry Orthopedic Surgery Volusia Hand Surgery Clinic Pa 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352
Sunil P Pasricha Gastroenterology Borland-groover Clinic Pa 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Vicki L Aunspaugh Occupational Therapy Daytona Beach Hand Clinic, Inc 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349
Julie T Bonamo Occupational Therapy Daytona Beach Hand Clinic, Inc 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349
Srikanth Eathiraju General Surgery Volusia Hand Surgery Clinic Pa 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Dorothy W Porter Physician Assistant Borland-groover Clinic Pa 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349
Clayton T Saxour Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Anita V Lee Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Diane R Orlando Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Candace B. Donley Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Charles W Stewart Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Ambili G Gopinathan Nair Certified Registered Nurse Anesthetist (crna) Amsurg Port Orange Anesthesia LLC 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351
Gloria Nikole Felder Nurse Practitioner Metcare of Florida Inc 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357
Qing J Ge Ophthalmology 3641 S Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2357
Ibukun Woodson Nurse Practitioner Metcare of Florida Inc 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357
Find all physicians in zip 32129

Competitor

Search similar physicians

City PORT ORANGE
Zip Code 32129
Specialty GASTROENTEROLOGY
City + Specialty PORT ORANGE + GASTROENTEROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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