Palak J Patel (NPI# 1104313386, PAC ID# 2062776156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104313386 |
| PAC ID by PECOS | 2062776156 |
| Professional Enrollment ID | I20180425000970 |
| Full Name | Palak J Patel |
| Organization Legal Name | STORM-PETREL INPATIENT SERVICES LLC |
| Address |
E Main and S 20th St Sparks Medical Center Van Buren AR 72956 |
| Phone Number | 4794743401 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395967533 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| 040018 | SPARKS MEDICAL CENTER VAN BUREN |
| Address | Phone | Organization |
|---|---|---|
| 1001 Towson Ave, Fort Smith, AR 72901-4921 | 4794414000 | SCAUP INPATIENT SERVICES LLC |
| E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 | 4794743401 | STORM-PETREL INPATIENT SERVICES LLC |
| Organization Legal Name | STORM-PETREL INPATIENT SERVICES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Tetirick | Nurse Practitioner | Storm-petrel Inpatient Services LLC | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 |
| Street Address |
E MAIN AND S 20TH ST SPARKS MEDICAL CENTER |
| City | VAN BUREN |
| State | AR |
| Zip | 72956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Mccormick | Physician Assistant | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 | |
| Jennifer Tetirick | Nurse Practitioner | Storm-petrel Inpatient Services LLC | E Main and S 20th St, Sparks Medical Center, Van Buren, AR 72956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Doolittle | Physical Therapy | 115 Pointer W Trl B, Van Buren, AR 72956-2236 | |
| Carolyn M Dillard | Family Medicine | 109 W Pointer Trail, Van Buren, AR 72956-2236 | |
| Linda Blasingame | Nurse Practitioner | Baptist Health Services | 209 Pointer Trl W A, Baptist Health Family and Pediatric, Van Buren, AR 72956-2238 |
| Kelly Leigh Graham | Optometry | 113 N Plaza Ct, Van Buren, AR 72956-2269 | |
| Cameron Mitchell | Chiropractic | 520 E Pointer Trl, B, Van Buren, AR 72956-2304 | |
| Lance G Clouse | Nurse Practitioner | 623 Fayetteville Rd, Van Buren, AR 72956-3418 | |
| Joseph F Followell | Optometry | 825 Fayetteville Rd, Van Buren, AR 72956-3422 | |
| George H Tompkins | Family Medicine | 400 Fayetteville Rd, Van Buren, AR 72956-3446 | |
| Matthew Mclellan | Family Medicine | Baptist Health Services | 2521 Alma Hwy, Van Buren, AR 72956-5015 |
| Donald P Samms | Family Medicine | Baptist Health Services | 2521 Alma Hwy, Van Buren, AR 72956-5015 |
| Find all physicians in zip 72956 | |||
| City | VAN BUREN |
| Zip Code | 72956 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VAN BUREN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Palak J Patel.
| 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.