CHETAN SHAILESHKUMAR PATEL (NPI# 1053775635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053775635 |
| Entity Type | Individual |
| Full Name | CHETAN SHAILESHKUMAR PATEL |
| Credential | NP-C |
| Practice Address |
171 W Central Ave Coolidge AZ 85128-4405 |
| Mailing Address |
27417 N Covered Wagon Rd Phoenix AZ 85085-3790 |
| Practice Telephone | 5207237726 |
| Mailing Telephone | 6023322878 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8584 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 141674 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043600570 | Chetan Patel | Pharmacist | 307 Country Meadows Dr, Lancaster, PA 17602-1481 | 2015-02-05 |
| 1346652385 | Chetan Patel | Pharmacist | 4051 Woodcreek Oaks Blvd, Roseville, CA 95747-6812 | 2014-05-26 |
| 1992071047 | Chetan Jitendra Patel | Surgery | 12601 Narcoossee Rd Ste 209, Orlando, FL 32832 | 2012-03-22 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1730256835 | Chetan Bharat Patel | Internal Medicine | Dumc 3034, Durham, NC 27710-0001 | 2006-11-30 |
| 1639156516 | Chetan P Patel | Internal Medicine | 7879 Auburn Road 1a, Painesville, OH 44077 | 2005-12-30 |
| 1841272093 | Chetan K Patel | Orthopaedic Surgery | 711 E Altamonte Dr, Ste 210, Altamonte Springs, FL 32701-4806 | 2005-11-15 |
| 1245861921 | Chetan Patel | Pharmacist | 22001 W 8 Mile Rd, Detroit, MI 48219-1223 | 2020-01-30 |
| 1184080749 | Chetan Patel | Pharmacist | 1561 John F Kennedy Blvd, Jersey City, NJ 07305-1721 | 2016-01-12 |
| 1346650975 | Chetan Raman Patel | Emergency Medicine | 1900 10th Ave, Columbus, GA 31901-3600 | 2014-05-05 |
| Street Address |
171 W CENTRAL AVE |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85128-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734750 | Edward James Powell | Physician Assistant | 171 W Central Ave, Coolidge, AZ 85228-4405 | 2006-11-08 |
| 1922653690 | Keshavjivan Pllc | Nurse Practitioner | 171 W Central Ave, Coolidge, AZ 85128-4405 | 2019-08-08 |
| 1770748477 | Sonoran Family Practice | Physician Assistant | 171 W Central Ave, Coolidge, AZ 85228-4405 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
| 1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
| 1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
| 1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
| 1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| 1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
| 1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
| Find all providers in zip 85128 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699302612 | Cecilia Araceli Munoz | Nurse Practitioner | 299 W Central Ave, Coolidge, AZ 85128-4724 | 2020-03-27 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.