DR. SHOBHA R PATEL (NPI# 1225052897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225052897 |
| Entity Type | Individual |
| Full Name | DR. SHOBHA R PATEL |
| Credential | M.D. |
| Practice Address |
325 Meeting House Ln Building #2 Southampton NY 11968-5087 |
| Mailing Address |
Po Box 2340 Southampton NY 11969-2340 |
| Practice Telephone | 6312834048 |
| Practice Fax Number | 6312835396 |
| Mailing Telephone | 6312832430 |
| Mailing Fax Number | 6312837496 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 203693 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CIGNA HEALTHCARE | 2539648 | 01 |
| NY | 01837663 | 05 | |
| NY | COMMERCIAL | 200309210 | 01 |
| NY | EMPIRE BLUE CROSS BLUE SH | 161AD1 | 01 |
| NY | GHI | 2592199 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306949318 | Shobha N Patel | Family Medicine | 6522 E Carondelet Dr, Suite B, Tucson, AZ 85710-2200 | 2006-09-06 |
| 1043272552 | Shobha Rajendra Patel | Physician Assistant | 3109 E Whitmore Ave, Ceres, CA 95307-2906 | 2006-04-03 |
| Street Address |
325 MEETING HOUSE LN BUILDING #2 |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
| 1700323326 | Sara Procak | Physician Assistant | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2017-01-20 |
| 1699189191 | Hamptons Vein & Vascular PC | Specialist | 325 Meeting House Ln, Bldg 1, Suite A, Southampton, NY 11968-5087 | 2014-06-12 |
| 1538503487 | James Wai | Internal Medicine | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968 | 2013-04-22 |
| 1295964740 | Southampton Physical Therapy PC | Clinic/Center | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2009-07-06 |
| 1659508570 | Rajeev Santiago Fernando | Internal Medicine | 325 Meeting House Ln, Building #2, Southampton, NY 11968-5087 | 2009-06-18 |
| 1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
| 1134385909 | Olga L Mcabee | Psychiatry & Neurology | 325 Meeting House Ln, Bldg #2 1st Suite 301, Southampton, NY 11968-5087 | 2008-07-31 |
| 1013182591 | Lawrence J Tarasuk | Surgery | 325 Meeting House Ln, Bldg 2 Suite 403, Southampton, NY 11968-5087 | 2008-04-25 |
| 1689842379 | Brian Park | Dentist | 325 Meeting House Ln, Bldg #2 Suite 401, Southampton, NY 11968-5087 | 2008-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144723677 | Butterwick & Kerner Associates, LLC | Internal Medicine | 283 Second Street Pike Ste 145, Southampton, PA 18966-3869 | 2018-03-12 |
| 1386907426 | Lindsay R Jablonski | Internal Medicine | 729 Grove Avenue, Suite 4, Infectious Diseases Associates, P.C., Southampton, PA 18966-6008 | 2012-06-22 |
| 1063773455 | Barbara Jo Aimino | Internal Medicine | 581 New Rd, Southampton, PA 18966-3784 | 2012-06-03 |
| 1073801502 | Eugenia Kevelyuk | Internal Medicine | 25 Heather Valley Rd, Southampton, PA 18966-2634 | 2011-07-18 |
| 1366768384 | Dana L. Kerner D.o. LLC | Internal Medicine | 501 Street Rd Ste 100, Southampton, PA 18966-3796 | 2010-04-15 |
| 1609008663 | Perry Steven Eisman | Internal Medicine | 24 Millfarm Ln, Southampton, NY 11968-2906 | 2009-08-10 |
| 1902088495 | Meeting House Lane Medical Practice PC | Internal Medicine | 57 Hampton Rd, Suite 201, Southampton, NY 11968-4973 | 2007-11-27 |
| 1336363373 | Thomas Mathew | Internal Medicine | 238 Old Town Rd, Southampton, NY 11968-5013 | 2007-04-12 |
| 1336289115 | Southampton Medical Practice PC | Internal Medicine | 763 Grove Ave, Southampton, PA 18966-3438 | 2007-02-08 |
| 1518058254 | Byoung-kwon Chin | Internal Medicine | 763 Grove Avenue, Southampton, PA 18966-3438 | 2006-09-27 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
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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.