KRUPA PATHAK (NPI# 1497105563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497105563 |
| Entity Type | Individual |
| Full Name | KRUPA PATHAK |
| Credential | M.D. |
| Practice Address |
2500 Metrohealth Dr Cleveland OH 44109 |
| Mailing Address |
5501 Old York Rd Philadelphia PA 19141-3018 |
| Practice Telephone | 2157787800 |
| Mailing Telephone | 2154569015 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2018-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
AH2289646 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2500 METROHEALTH DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| 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 |
|---|---|---|---|---|
| 1841201068 | Lois Sue Freedman | Psychiatry & Neurology | 10701 East Boulevard, Louis Stokes Cleveland Vamc, Cleveland, OH 44106 | 2006-08-11 |
| 1336466986 | Kasia Gustaw Rothenberg | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2010-04-22 |
| 1558417030 | Brian Stephen Appleby | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-01-26 |
| 1275639643 | Catalina M Lee | Psychiatry & Neurology | 1708 Southpoint Dr, Cleveland, OH 44109-1911 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614858 | Nh Zinaida Lebedeva Md LLC | Psychiatry & Neurology | 8020 Birchwood Dr, Chesterland, OH 44026-3056 | 2015-07-13 |
| 1700134095 | Sri Rayani LLC | Psychiatry & Neurology | 462 Pineview Dr, Gallipolis, OH 45631-9038 | 2012-08-17 |
| 1962565408 | James Shackson Md | Psychiatry & Neurology | 9525 Kenwood Rd, Suite 16-382, Cincinnati, OH 45242-6176 | 2006-12-18 |
| 1053411447 | Nathaniel Travis Marvel, Jr. | Psychiatry & Neurology | 143 Lakeview Ct., Loveland, OH 45140 | 2006-09-25 |
| 1215963087 | Robert Taylor Segraves | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-06-24 |
| 1306820493 | Marguerite Maryanna Katchen | Psychiatry & Neurology | 4903 Vine St, Cincinnati, OH 45217-1252 | 2005-12-01 |
| 1598763856 | Babu V Gupta | Psychiatry & Neurology | 3260 Westbourne Dr, Cincinnati, OH 45248-5107 | 2005-07-11 |
| 1558908400 | Lydia Lee Potoma | Psychiatry & Neurology | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2019-12-10 |
| 1316582778 | Geropsych Psychiatry, Ltd | Psychiatry & Neurology | 151 Orchardview Rd Ste 2b, Seven Hills, OH 44131-5836 | 2019-11-08 |
| 1629479639 | Gupta Psychiatric Services LLC | Psychiatry & Neurology | 3260 Westbourne Dr, Cincinnati, OH 45248-5107 | 2014-09-09 |
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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.