MR. PRANAV DILIP BHAKTA (NPI# 1295392124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295392124 |
| Entity Type | Individual |
| Full Name | MR. PRANAV DILIP BHAKTA |
| Credential | PA |
| Practice Address |
1600 Wallace Blvd Amarillo TX 79106-1799 |
| Mailing Address |
Po Box 3780 Amarillo TX 79116-3780 |
| Practice Telephone | 8063553352 |
| Mailing Telephone | 8063555367 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659485092 | Pranav H Bhakta | Internal Medicine | 17448 Hwy 3, Suite 160, Webster, TX 77598 | 2006-08-19 |
| Street Address |
1600 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
| 1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
| 1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
| 1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
| 1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
| 1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
| 1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
| 1992265938 | Ellen Louise Edwards | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992316202 | Alexa Renee Wingo | Physician Assistant | 8200 Zachary Pl, Amarillo, TX 79119-7353 | 2020-08-11 |
| 1528626017 | Rozlyn Austin | Physician Assistant | 2204 S Ong St, Amarillo, TX 79109-2247 | 2019-05-30 |
| 1144745720 | Valerie Renee Neitsch | Physician Assistant | 5040 S Coulter St Apt 510, Amarillo, TX 79119-5423 | 2017-08-04 |
| 1942572219 | Jessica Hanson Berg | Physician Assistant | 808 S Buchanan St, Amarillo, TX 79101-3604 | 2012-02-02 |
| 1447568589 | Kelly L Linley | Physician Assistant | 2707 S Van Buren St, Amarillo, TX 79109-2535 | 2010-09-23 |
| 1578756771 | Fmc Clinics, P.a. | Physician Assistant | 5807 Sw 45th Avenue, Suite 100, Amarillo, TX 79109-5205 | 2007-08-21 |
| 1013040914 | Melinda Sue Schock | Physician Assistant | 1215 S Coulter St Ste 101, Amarillo, TX 79106-1761 | 2007-03-13 |
| 1639189970 | Rose G Omamogho | Physician Assistant | 1500 S Coulter St Ste 6, Amarillo, TX 79106-1790 | 2006-08-09 |
| 1649205972 | Fmc Medical Foundation, Inc. | Physician Assistant | 1500 S. Coulter, Suite 6, Amarillo, TX 79106-1790 | 2006-07-12 |
| 1225646409 | Kiranmayi Navaneethakrishnan | Physician Assistant | 1901 Medi Park Dr Ste 2001, Amarillo, TX 79106-2108 | 2020-07-14 |
| Find all providers in AMARILLO | ||||
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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.