Vatsal Patel (NPI# 1548524044, PAC ID# 7911135884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1548524044 |
| PAC ID by PECOS | 7911135884 |
| Professional Enrollment ID | I20180627002653 |
| Full Name | Vatsal Patel |
| Organization Legal Name | KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT |
| Address |
Magnolia Dr and Miccosukee Rd Tallahassee FL 32308 |
| Phone Number | 8504315888 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2012 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4082708755 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100135 | TALLAHASSEE MEMORIAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 1899 Eider Court, Tallahassee, FL 32308-4537 | 8508785143 | KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT |
| Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 | 8504315888 | KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT |
| Organization Legal Name | KETCHUM WOOD AND BURGERT CHARTERED DRS KETCHUM WOOD AND BURGERT |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Moyer | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| David Stewart Jr. | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Jerry L Harris | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Ronald Paul Mageau | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Christopher R Price | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Ashton Byington | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Nicole Nabors Balmer | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Kenneth Clifford Whithaus | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Stephen L Sgan | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | 1899 Eider Court, Tallahassee, FL 32308-4537 |
| Street Address |
MAGNOLIA DR AND MICCOSUKEE RD |
| City | TALLAHASSEE |
| State | FL |
| Zip | 32308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Carlquist | Pathology | Ketchum Wood and Burgert Chartered Drs Ketchum Wood and Burgert | Magnolia Dr and Miccosukee Rd, Tallahassee, FL 32308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen Venable | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jeffrey T Ferraro | Neuropsychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Donna S Kitch | Psychologist, Clinical | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jessica D Shrum | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jonathan E Johnson | Physician Assistant | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Jennifer Beaupied | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Cynthia S Whitaker | Clinical Social Worker | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Kelly E Sunshine | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Paul D Zislis | Psychiatry | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Katie N Mann | Nurse Practitioner | Jeffrey Ferraro, LLC | 2606 Centennial Pl, Tallahassee, FL 32308-0572 |
| Find all physicians in zip 32308 | |||
| City | TALLAHASSEE |
| Zip Code | 32308 |
| Specialty | PATHOLOGY |
| City + Specialty | TALLAHASSEE + PATHOLOGY |
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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.