Shruti Patel (NPI# 1417404237, PAC ID# 1052674652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417404237 |
| PAC ID by PECOS | 1052674652 |
| Professional Enrollment ID | I20180412002385 |
| Full Name | Shruti Patel |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Address |
844 W Plymouth Ave Deland FL 32720-3284 |
| Phone Number | 3867382422 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547249518 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| Address | Phone | Organization |
|---|---|---|
| 844 W Plymouth Ave, Deland, FL 32720-3284 | 3867382422 | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Organization Legal Name | NORTHEAST FLORIDA HEALTH SERVICES, INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hichinaca Roberson | Nurse Practitioner | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Pamela Liu Sauls | Family Medicine | Northeast Florida Health Services, Inc | 801 Beville Rd, Suite 101, South Daytona, FL 32119-1861 |
| Julian P Johnson | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Angelia Lynn Fuller | Nurse Practitioner | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Kelsey Hoblick | Physician Assistant | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Robert Brian Rodriguez | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Arletty D Smith | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Bruno Mancini | Family Medicine | Northeast Florida Health Services, Inc | 216 N Frederick St, Pierson, FL 32180-3024 |
| Street Address |
844 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip | 32720-3284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julian P Johnson | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Angelia Lynn Fuller | Nurse Practitioner | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Robert Brian Rodriguez | Physician Assistant | Northeast Florida Health Services, Inc | 844 W Plymouth Ave, Deland, FL 32720-3284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen G Weiss | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Thomas M Corbyons | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| John Claude Pearson | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael S Grable | Urology | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Chelsie Renee Ferrell | Physician Assistant | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Michael Joseph Donohoe | General Surgery | Memorial Hospital-west Volusia Inc | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Jeanette L Lain | Physician Assistant | Advanced Urology Institute, LLC | 685 Peachwood Dr, Deland, FL 32720-0804 |
| Sue-ellen Elizabeth Griffith | Family Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Martin Gino F Prado | Gastroenterology | Memorial Hospital-west Volusia Inc | 1070 N Stone St D, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Joseph B Depeyster | Internal Medicine | Memorial Hospital-west Volusia Inc | 1070 N Stone St A, Adventhealth Medical Group, Deland, FL 32720-0824 |
| Find all physicians in zip 32720 | |||
| City | DELAND |
| Zip Code | 32720 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DELAND + PHYSICIAN ASSISTANT |
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| 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.