Amish R Patel (NPI# 1962439521, PAC ID# 7315086725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1962439521 |
| PAC ID by PECOS | 7315086725 |
| Professional Enrollment ID | I20091124000607 |
| Full Name | Amish R Patel |
| Organization Legal Name | GRADY MEMORIAL HOSPITAL |
| Address |
2100 W Iowa Ave Five Oaks Medical Group Chickasha OK 73018-2736 |
| Phone Number | 4052242100 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0648175778 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370054 | GRADY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 | 4052242100 | GRADY MEMORIAL HOSPITAL |
| Organization Legal Name | GRADY MEMORIAL HOSPITAL |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon R Brady-bardsher | Nurse Practitioner | Grady Memorial Hospital | 113 S Rush Ave, Rush Springs, OK 73082-0277 |
| Abby M Housman | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Miguel L Rodriguez | Internal Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Deacon Vice | Emergency Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Bryan Peck | Diagnostic Radiology | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Bruce L Storms | Emergency Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 |
| Kevin W Anderson | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 |
| John Tien Doan | Nuclear Medicine | Grady Memorial Hospital | 2220 W Iowa Ave, Professional Medical Services, Chickasha, OK 73018-2738 |
| Laura M Black-wicks | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Justin Boe | Diagnostic Radiology | Grady Memorial Hospital | 2220 W Iowa Ave, Chickasha, OK 73018-2738 |
| Street Address |
2100 W IOWA AVE FIVE OAKS MEDICAL GROUP |
| City | CHICKASHA |
| State | OK |
| Zip | 73018-2736 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby M Housman | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Bruce L Storms | Emergency Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 |
| Kevin W Anderson | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 |
| Laura M Black-wicks | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Mary Masterman | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Suite A, Chickasha, OK 73018-2736 |
| James W Stephens | Pain Management | Grady Memorial Hospital | 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 |
| Thomas L Wicks | Podiatry | Grady Memorial Hospital | 2100 W Iowa Ave, Five Oaks Medical Group, Chickasha, OK 73018-2736 |
| Kacey L Wallace | Family Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Don Richard Hess | Internal Medicine | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Mary A Ross | Physician Assistant | Grady Memorial Hospital | 2100 W Iowa Ave, Chickasha, OK 73018-2736 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Rhodes | Certified Clinical Nurse Specialist (cns) | Cancer Centers of Southwest Oklahoma, LLC | 210 S Mary Bailey, Chickasha, OK 73018-1832 |
| James F Monk | Chiropractic | 816 W Choctaw Ave, Chickasha, OK 73018-2310 | |
| Richard Varley | Optometry | 508 W Chickasha Ave, Chickasha, OK 73018-2412 | |
| James G Roberson | Optometry | John B Minnett Od Inc | 619 W Chickasha Ave, Chickasha, OK 73018-2413 |
| Christen R Clift | Optometry | John B Minnett Od Inc | 619 W Chickasha Ave, Chickasha, OK 73018-2413 |
| Robert A Fulton | Optometry | 402 W Chickasha Ave, Suite 100, Chickasha, OK 73018-2461 | |
| Alisa Valereyvna Tarasova | Nurse Practitioner | Physician Housecalls LLC | 304 S 29th St, Chickasha, OK 73018-2501 |
| Eunhye Steele | Nurse Practitioner | Physician Housecalls LLC | 304 S 29th St, Chickasha, OK 73018-2501 |
| Andrea Rae Roberts | Physician Assistant | Physician Housecalls LLC | 304 S 29th St, Chickasha, OK 73018-2501 |
| Ian Thompson | Family Medicine | Physician Housecalls LLC | 304 S 29th St, Chickasha, OK 73018-2501 |
| Find all physicians in zip 73018 | |||
| City | CHICKASHA |
| Zip Code | 73018 |
| Specialty | GENERAL SURGERY |
| City + Specialty | CHICKASHA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Amish R 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.