JIMISHA PATEL (NPI# 1235450883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235450883 |
| Entity Type | Individual |
| Full Name | JIMISHA PATEL |
| Credential | M.D. |
| Practice Address |
1864 Tamarack Road Newark OH 43055 |
| Practice Telephone | 2205644939 |
| Practice Fax Number | 2205644944 |
| Mailing Telephone | 2205644939 |
| Mailing Fax Number | 2205644944 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35123903 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35123903 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0105233 | 05 |
| Street Address |
1864 TAMARACK ROAD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003038027 | Catherine Anne Scarfi | Pediatrics | Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112-0000 | 2007-05-02 |
| 1477844827 | Uchechi Azubuine | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2011-04-20 |
| 1750508149 | Maria Theresa Alvarez-ballway | Pediatrics | 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 | 2007-04-19 |
| 1033246897 | Ellen Monahan | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-28 |
| 1518008960 | Robert Louis Barricella | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-09 |
| 1700924727 | Maureen A. Rickerhauser-krall | Pediatrics | 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 | 2007-02-02 |
| 1255479580 | Katherine Baranowski | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-01 |
| 1053463810 | Tyrone K. Reyes | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-01-18 |
| 1275602906 | Beatriz C Arpayoglou | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2006-11-07 |
| 1114958451 | Noah Praveen Kumar Kondamudi | Pediatrics | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-05 |
| Find all providers in NEWARK | ||||
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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.