SURENDRA R PATEL (NPI# 1255735015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255735015 |
| Entity Type | Individual |
| Full Name | SURENDRA R PATEL |
| Credential | PHARMD |
| Practice Address |
333 Solar Terrace Ct Chesterfield MO 63017-2499 |
| Mailing Address |
Po Box 4249 Chesterfield MO 63006-4249 |
| Practice Telephone | 3144824650 |
| Mailing Telephone | 3144824650 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2000173735 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740238682 | Surendra C Patel | Internal Medicine | 2525 Amboy Rd, Staten Island, NY 10306-2258 | 2006-05-04 |
| 1346203973 | Surendra Motibhai Patel | Internal Medicine | 5680 N Fresno St, Suite 101, Fresno, CA 93710-8331 | 2006-04-06 |
| 1013907070 | Surendra R. Patel | Dentist | 48 E Kingsbridge Rd, Bronx, NY 10468-7514 | 2005-10-21 |
| 1508213034 | Surendra Patel | Pharmacist | 806 W North Ave, Melrose Park, IL 60160-1611 | 2016-05-13 |
| 1265748404 | Surendra Patel | Internal Medicine | W180n8085 Town Hall Rd, Internal Medicine Hospitalist Division, Menomonee Falls, WI 53051-3518 | 2010-08-25 |
| Street Address |
333 SOLAR TERRACE CT |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598241382 | Jennifer Sinner | Pharmacist | 1060 Woods Mill Plz, Chesterfield, MO 63017-0606 | 2018-07-14 |
| 1780983387 | Valerie Christine Raney | Pharmacist | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1538647250 | Brian D Davis | Pharmacist | 600 Winding Oaks Pl, Ballwin, MO 63021-7379 | 2018-08-03 |
| 1144718313 | Eddy Airiohuodion | Pharmacist | 8629 E Utopia Pkwy Apt 11, Raytown, MO 64138-5307 | 2018-04-24 |
| 1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
| 1104347277 | Blake William Baumann | Pharmacist | 2301 Homes St, Kansas City, MO 64108 | 2017-06-29 |
| 1497280523 | Scott Strassels | Pharmacist | 8002 Davis Dr, Clayton, MO 63105-2529 | 2017-04-26 |
| 1942682604 | Shane Austin | Pharmacist | 8660 Old Bonhomme Rd Apt B, Saint Louis, MO 63132-3936 | 2015-06-18 |
| 1093131500 | Chessa Nyberg | Pharmacist | 410 E Porte Cimi Pas St, Kansas City, MO 64131-2922 | 2014-03-07 |
| 1063833127 | Brent Tackitt | Pharmacist | 1768 Winding Glen Dr, Saint Charles, MO 63303-5099 | 2013-12-16 |
| 1619319639 | Michael J. Cox | Pharmacist | 420 Wiltshire Dr, Raymore, MO 64083-7816 | 2013-07-18 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.