DR. SHIV B PATEL (NPI# 1619262250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619262250 |
| Entity Type | Individual |
| Full Name | DR. SHIV B PATEL |
| Credential | M.D. |
| Practice Address |
1223 Gateway Dr Ste 2a Melbourne FL 32901-2607 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3213615568 |
| Practice Fax Number | 3219513124 |
| Mailing Telephone | 3213615568 |
| Mailing Fax Number | 3219513124 |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2020-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 131957 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 247250 | MA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102682200 | 05 | |
| FL | FL RR MEDICARE | P02113170 | 01 |
| FL | FL MEDICARE | JB224Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811396070 | Shiv Patel | Pharmacist | 4465 Young Dr, Carrollton, TX 75010-1145 | 2014-08-13 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1457990822 | Shiv Patel | Physical Therapy Assistant | 6801 Middlebrook Pike, Knoxville, TN 37909-1152 | 2020-01-02 |
| 1083177943 | Shiv Umesh Patel | Student in an Organized Health Care Education/Training Program | 1101 Van Ness Ave Ste 1120, San Francisco, CA 94109-6919 | 2019-04-08 |
| 1649763848 | Shiv Patel | Surgery | 1111 6th Ave, Des Moines, IA 50314-2613 | 2018-06-12 |
| 1831630615 | Shiv Patel | Pharmacist | 200 Springs Rd, Bedford, MA 01730-1114 | 2017-03-14 |
| 1891149985 | Shiv Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2016-04-14 |
| 1891107793 | Shiv Pravin Patel | Orthopaedic Surgery | 215 Old Highway 1187, Burleson, TX 76028-0281 | 2014-05-27 |
| Street Address |
1223 GATEWAY DR STE 2A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144376088 | Carrie M Chapman | Physician Assistant | 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 | 2007-01-25 |
| 1669994083 | Guilene Davilmar | Nurse Practitioner | 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 | 2017-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1144477795 | Matei T Andreoiu | Urology | 8725 N Wickham Rd Ste 202, Melbourne, FL 32940-2240 | 2008-08-26 |
| 1881869089 | Bassem M Eldaif | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2008-04-28 |
| 1346462710 | Om Urology LLC | Urology | 3160 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-7204 | 2007-05-03 |
| 1598718504 | Noone Urology | Urology | 2202 S Babcock St, Suite 101, Melbourne, FL 32901-5370 | 2006-05-19 |
| 1649256256 | Peter P Zabinski | Urology | 1405 Pine St, Melbourne, FL 32901-3118 | 2005-12-16 |
| 1609867696 | Boris Havkin | Urology | 3021 W Eau Gallie Blvd, Melbourne, FL 32934-7005 | 2005-10-31 |
| 1245231190 | Douglas P Sorensen | Urology | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2005-08-02 |
| 1750882247 | Bassem Eldaif Md Pa | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2018-02-21 |
| 1679934996 | Boris Havkin Pllc | Urology | 3021 W Eau Gallie Blvd, Suite 103, Melbourne, FL 32934-7005 | 2016-03-14 |
| Find all providers in MELBOURNE | ||||
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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.