SHAILESH J PATEL (NPI# 1407841521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407841521 |
| Entity Type | Individual |
| Full Name | SHAILESH J PATEL |
| Credential | MD |
| Practice Address |
4724 N Davis Hwy Pensacola FL 32503-2339 |
| Practice Telephone | 8506964000 |
| Practice Fax Number | 8504447057 |
| Mailing Telephone | 8506964000 |
| Mailing Fax Number | 8504447057 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2016-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME71816 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
24241 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | E5565Y | 01 |
| FL | 261424300 | 05 | |
| FL | AVMED | 373457 | 01 |
| FL | AETNA | 7666255 | 01 |
| AL | MEDICARE PTAN | 102I835954 | 01 |
| AL | 109729 | 05 | |
| FL | RR MEDICARE | P01428449 | 01 |
| FL | WELLCARE | 200595 | 01 |
| FL | CIGNA | 1355791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386840106 | Shailesh Champak Patel | Dentist | 2401 Weston Pkwy Ste 201, Cary, NC 27513-5596 | 2007-06-27 |
| 1255534350 | Shailesh Patel | Dentist | 7748 Denton Hwy, Watauga, TX 76148-2463 | 2007-06-06 |
| 1578764874 | Shailesh Patel | Pharmacist | 8447 Alondra Blvd, Paramount, CA 90723 | 2007-05-31 |
| 1720145246 | Shailesh Rasiklal Patel | Internal Medicine | 2125 River Rd Ste 203, Schenectady, NY 12309-1135 | 2007-01-03 |
| 1760499594 | Shailesh C Patel | Internal Medicine | 812 Coshocton Avenue, Mount Vernon, OH 43050 | 2006-08-02 |
| 1144274861 | Shailesh J Patel | Internal Medicine | 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 | 2006-05-19 |
| 1386626778 | Shailesh R Patel | Pharmacist | 120 Bradley Ave, White Plains, NY 10607-2504 | 2005-11-19 |
| 1174520761 | Shailesh S Patel | Internal Medicine | 2625 W Alameda Ave, Ste 506, Burbank, CA 91505-4816 | 2005-06-28 |
| 1124483789 | Shailesh Patel | Pharmacist | 3409 W 7th St, Fort Worth, TX 76107-2718 | 2015-12-28 |
| 1215234265 | Shailesh Patel | Pharmacist | 5220 Sunset Blvd, Lexington, SC 29072-9259 | 2011-02-25 |
| Street Address |
4724 N DAVIS HWY |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1548869142 | Sherry Leroy | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-10-23 |
| 1013522325 | Florida Gulf Coast Anesthesia, LLC | Anesthesiology | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-09-14 |
| 1639709835 | Kaitlin Graye | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2020-01-16 |
| 1710443486 | Kaitlyn Weaver | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2019-02-18 |
| 1750877791 | Karen Lynn Atkins | Dietitian, Registered | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2018-07-02 |
| 1497260400 | Debbie Ann Sprague | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503 | 2017-12-13 |
| 1245761634 | Charles Blay | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2017-03-27 |
| 1538532692 | Kaley Morris | Physician Assistant | 4724 N Davis Hwy, Pensacola, FL 32503 | 2015-11-10 |
| 1790167930 | Jeana Varner | Nurse Practitioner | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2015-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083750962 | Alexander Brown | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504-8615 | 2007-01-29 |
| 1801881222 | Elmer P Brestan | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2005-09-12 |
| 1023379575 | Nicholas M Drake | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501 | 2012-05-31 |
| 1851667109 | Sweta Jonnalagadda | Internal Medicine | 1717 N E St Ste 231, Pensacola, FL 32501-6390 | 2012-03-30 |
| 1053584003 | Dee Mcleod | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2008-04-10 |
| 1871762971 | Lonnie Dean Miller | Internal Medicine | 1545 Airport Blvd Ste 2000, Pensacola, FL 32504 | 2008-02-22 |
| 1952528762 | Michael Joseph Poiesz | Internal Medicine | 4724 N Davis Hwy, Pensacola, FL 32503-2339 | 2007-04-20 |
| 1356474548 | Dany Naim El Sayah | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-03-14 |
| 1811047905 | James F Watkins IIi | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2007-01-11 |
| 1558460626 | Yazan Alsayed | Internal Medicine | 1545 Airport Blvd, Suite 2000, Pensacola, FL 32504-8615 | 2006-09-22 |
| Find all providers in PENSACOLA | ||||
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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.