MRS. HETAL PATEL (NPI# 1558616219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558616219 |
| Entity Type | Individual |
| Full Name | MRS. HETAL PATEL |
| Other Name | HETAL SHARMA |
| Credential | PA-C |
| Practice Address |
61 Whitcher St Ne Ste 4100b Marietta GA 30060 |
| Mailing Address |
61 Whitcher St Ne Ste 4100b Marietta GA 30060-1176 |
| Practice Telephone | 7705904180 |
| Mailing Telephone | 7705904180 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA057382 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
008054 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Whitcher Street, Suite 350, Marietta, GA 30060 | 7704246893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1710590070 | Hetal Patel | Pharmacist | 157 Augusta Dr, Streamwood, IL 60107-1291 | 2020-08-26 |
| 1457821910 | Hetal Patel | Speech-Language Pathologist | 2384 Millbrook Ct, Rochester Hills, MI 48306-3143 | 2018-11-27 |
| 1902343452 | Hetal Patel | Nurse Practitioner | 23419 Lakewind Park Ln, Richmond, TX 77407-6439 | 2017-01-23 |
| 1114471497 | Hetal Patel | Pharmacist | 505 Townsend Bnd, Stockbridge, GA 30281-7002 | 2016-08-04 |
| 1255798781 | Hetal Patel | Dentist | 312 Route 33, Hamilton, NJ 08619 | 2016-01-28 |
| 1487022505 | Hetal Kantilal Patel | Pharmacist | 1007 Amito Dr, Berkeley, CA 94705-1501 | 2015-09-04 |
| 1912343963 | Hetal J Patel | Pharmacist | 6 Olde Orchard Park, Apt 617, South Burlington, VT 05403-6968 | 2013-05-17 |
| 1306114152 | Hetal Patel | Pharmacist | 101 Knollwood Road, White Plains, NY 10607 | 2011-12-08 |
| 1851684617 | Hetal Patel | Otolaryngology | 7301 Knoxville Ave, Peoria, IL 61614 | 2011-05-25 |
| Street Address |
61 WHITCHER ST NE STE 4100B |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164969192 | Henry Payton | Physician Assistant | 1001 Burnt Hickory Rd Nw, Apt 231, Marietta, GA 30064-1368 | 2017-01-29 |
| 1588087944 | William Dalton | Physician Assistant | 4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149 | 2014-01-21 |
| 1205277043 | Carmeceia Lavonde Dowdell | Physician Assistant | 626 Pecan Knoll Dr, Marietta, GA 30008-3102 | 2013-07-09 |
| 1275895963 | La Tosha Eugena Walker | Physician Assistant | 409 Bloombridge Way Nw, Marietta, GA 30066-3486 | 2012-06-09 |
| 1306008032 | Marlys Joel | Physician Assistant | 4084 Audubon Dr, Marietta, GA 30068-2605 | 2008-06-25 |
| 1659531945 | Michelle Yvonne Larue | Physician Assistant | 4653 Pond Ln, Marietta, GA 30062-5618 | 2008-06-11 |
| 1467640649 | Wendy Kae Jetton | Physician Assistant | 915 Randall Ct Nw, Marietta, GA 30064-4724 | 2007-10-12 |
| 1154446433 | Rhonda Kay Thompson Herring | Physician Assistant | 800 Kennesaw Ave Nw Ste 120, Marietta, GA 30060 | 2007-03-19 |
| 1508918475 | Aneeta Anderson | Physician Assistant | 4488 Pine Hill Ter Ne, Marietta, GA 30066-2419 | 2007-01-18 |
| Find all providers in MARIETTA | ||||
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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.