DR. SAMIR PRAVINCHANDRA PATEL (NPI# 1457342420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457342420 |
| Entity Type | Individual |
| Full Name | DR. SAMIR PRAVINCHANDRA PATEL |
| Credential | M.D. |
| Practice Address |
365 East St Tewksbury MA 01876-1950 |
| Mailing Address |
14 Fellsmere Ave Wakefield MA 01880-3681 |
| Practice Telephone | 7813066165 |
| Practice Fax Number | 7813066146 |
| Mailing Telephone | 7812462747 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2017-07-14 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
76085 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 076805 | 01 |
| MA | UNITED BEH HEALTH | 83588 | 01 |
| MA | 3112608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1215350574 | Samir M Patel | Pharmacist | 3405 White Horse Rd Ste F, Greenville, SC 29611-5947 | 2014-01-22 |
| 1396075958 | Samir B Patel | Family Medicine | 11 Ellerdale Rd, Fallsington, PA 19054-1139 | 2010-01-05 |
| 1174758163 | Samir K Patel | Anesthesiology | 251 E Huron Street, F5-704, Chicago, IL 60611 | 2009-05-20 |
| 1992939532 | Samir H. Patel | Counselor | 1712 Highway 121 Byp N Ste I, Murray, KY 42071 | 2009-05-11 |
| 1396988911 | Samir Patel | Physical Therapist | 378 Colonia Blvd, Colonia, NJ 07067-2921 | 2009-04-13 |
| 1316102312 | Samir P Patel | Dentist | 205 N 2nd St, Thayer, MO 65791-1263 | 2008-07-20 |
| 1891903779 | Samir Rashmikant Patel | Internal Medicine | 6001 London Dr, Austin, TX 78745-3444 | 2007-05-21 |
| 1841334273 | Samir Patel | Optometrist | 5501 W Plainfield Rd, Countryside, IL 60525-3591 | 2007-02-18 |
| 1215001789 | Samir P Patel | Dentist | 332 Belleville Ave, Bloomfield, NJ 07003-3652 | 2006-11-17 |
| Street Address |
365 EAST ST |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455662 | Joe Biaty | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-23 |
| 1811514052 | Alexa-rae Fabiano | Registered Nurse | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-04 |
| 1316564131 | Michelle Charney Mcintosh | Clinical Nurse Specialist | 365 East St, Tewksbury, MA 01876-1950 | 2020-06-27 |
| 1114498227 | Sherin Aygun | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2018-12-16 |
| 1205310810 | Junie Joseph | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-09-19 |
| 1316420466 | Nancy Simon Fennessy | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-13 |
| 1861975229 | Cassandra Eliane Sampas | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-12 |
| 1447733050 | Beth Mary O'connell | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-09-10 |
| 1376024646 | Karin Orr | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-08-24 |
| 1245710995 | Karyl J Daley | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629384995 | Aaron Koenig | Psychiatry & Neurology | 178 Oakland St, Wellesley, MA 02481-5323 | 2010-08-25 |
| 1649306077 | Mark I. Frankel | Psychiatry & Neurology | 148 Linden St Ste 109, Wellesley, MA 02482-7916 | 2007-02-27 |
| 1790850410 | Sorgi Associates, PC | Psychiatry & Neurology | 142 North Rd Ste F105, Sudbury, MA 01776-1142 | 2006-11-21 |
| 1316958093 | Moak Geriatric Psychiatry | Psychiatry & Neurology | 5206 Union St Bldg 500, Westborough, MA 01581-5418 | 2006-08-10 |
| 1285670471 | Merrimack Psychiatric Associates, PC | Psychiatry & Neurology | Merrimack Valley Hospital, Abu, 140 Lincoln Ave, Haverhill, MA 01830 | 2006-06-22 |
| 1346281961 | Bruce Kaster | Psychiatry & Neurology | 60 Kendrick St, Ste 204, Needham, MA 02494-2726 | 2006-06-08 |
| 1831149244 | John Stuart Looper | Psychiatry & Neurology | 122 Ward St, Chestnut Hill, MA 02467-1029 | 2006-05-10 |
| 1619939287 | Katharine Poole Wolf | Psychiatry & Neurology | 521 Mt Auburn St, Ste 109, Watertown, MA 02472 | 2006-04-06 |
| 1437137346 | Robert B Portney | Psychiatry & Neurology | 6 Hearthstone Pl, Andover, MA 01810-5421 | 2006-01-03 |
| 1558363564 | Ping Cui | Psychiatry & Neurology | 288 Groveland St, Suite C2, Haverhill, MA 01830-6674 | 2005-08-10 |
| Find all providers with the same taxonomy | ||||
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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.