Shivali Patel (NPI# 1184043853, PAC ID# 6608165923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184043853 |
| PAC ID by PECOS | 6608165923 |
| Professional Enrollment ID | I20171004002888 |
| Full Name | Shivali Patel |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
300 Med Tech Pkwy Johnson City TN 37604-2277 |
| Phone Number | 4233021000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 4233021000 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234316111 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
300 MED TECH PKWY |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-2277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William M Parkhurst | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Vedire Vijaysen Reddy | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Alexis Paije Greene | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Jose Ernesto Picaza | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Clifford G Williamson | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Perry D Jernigan | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Vincent G Becker | Diagnostic Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Scott Denham | General Surgery | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Brett Reece | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Milan J Joshi | Interventional Radiology | Mountain Empire Radiology Inc PC | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNSON CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shivali 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.