DR. JYOTI PATEL (NPI# 1801828553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801828553 |
Entity Type | Individual |
Full Name | DR. JYOTI PATEL |
Credential | MD |
Practice Address |
105 Southpark Blvd Ste C-300 St Augustine FL 32086-4162 |
Mailing Address |
105 Southpark Blvd Ste C300 St Augustine FL 32086-4162 |
Practice Telephone | 9048087246 |
Practice Fax Number | 9048087090 |
Mailing Telephone | 9048087246 |
Mailing Fax Number | 9048087090 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2011-11-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
ME61180 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AETNA PROV NUMBER | 05336700 | 01 |
FL | 370492100 | 05 | |
FL | BLUE CROSS PROVIDER NUMBE | 15162 | 01 |
FL | MEDICARE GRP NUMBER | 34189 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
1174603658 | Jyoti Dhirubhai Patel | Pharmacist | 2385 Alamance Dr, West Chicago, IL 60185-6450 | 2006-10-17 |
1720174295 | Jyoti Patel | Occupational Therapist | 1290 Weston Rd, Suite 200, Weston, FL 33326-1976 | 2006-10-04 |
1659332971 | Jyoti R Patel | Internal Medicine | 13620 N Saguaro Blvd, Suite 100, Fountain Hills, AZ 85268-8551 | 2006-03-28 |
1568841427 | Jyoti Patel | Specialist/Technologist, Other | 7435 W Talcott Ave, Chicago, IL 60631-3707 | 2015-05-26 |
1407261209 | Jyoti Patel | Physical Therapy Assistant | 8010 Roswell Rd, Atlanta, GA 30350-7024 | 2014-07-01 |
1073868923 | Jyoti Patel | Pharmacist | 3250 Zemke Ave, Tampa, FL 33621 | 2012-07-17 |
1740512318 | Jyoti N Patel | Pharmacist | 70 E 161st St, Bronx, NY 10451-2207 | 2010-02-08 |
1619133899 | Jyoti Narendra Patel | Psychiatry & Neurology | 2519 Scripture St, Denton, TX 76201-2324 | 2008-08-06 |
1073779641 | Jyoti Kandlikar Patel | Pediatrics | 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 | 2008-08-04 |
Street Address |
105 SOUTHPARK BLVD STE C-300 |
City | ST AUGUSTINE |
State | FL |
Zip Code | 32086-4162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710987805 | Brett Cutler | Podiatrist | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-4162 | 2005-07-29 |
1043618077 | Cynthia Washington | Nurse Practitioner | 105 Southpark Blvd, C-300, St Augustine, FL 32086-5191 | 2014-12-08 |
1073870341 | Florida Center for Dermatology, P.a. | Dermatology | 105 Southpark Blvd, Suite A103, St Augustine, FL 32086-5191 | 2012-04-11 |
1215253893 | St. Augustine Foot & Ankle, Inc. | Non-Pharmacy Dispensing Site | 105 Southpark Blvd, Ste A103, St Augustine, FL 32086-5191 | 2010-04-08 |
1164676367 | Margaret E Martin | Nurse Practitioner | 105 Southpark Blvd, Suite C-300, St Augustine, FL 32086-5191 | 2008-11-14 |
1194927640 | Brett Cutler Dpm Pa | Podiatrist | 105 Southpark Blvd, Suite A103, St Augustine, FL 32086-4162 | 2007-06-05 |
1144383746 | Ouch, Pa | Specialist | 105 Southpark Blvd, Suite C 300, St Augustine, FL 32086-4162 | 2006-12-18 |
1467532697 | St Augustine Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 105 Southpark Blvd, Ste A101, St Augustine, FL 32086 | 2006-10-16 |
1164532552 | Alice G Beard | Physician Assistant | 105 Southpark Blvd, A103, St Augustine, FL 32086-5191 | 2006-08-30 |
1649209842 | Elena Stanescu | Anesthesiology | 105 Southpark Blvd, Suite C-300, St Augustine, FL 32086-4162 | 2006-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
Find all providers in zip 32086 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558771238 | Adnan Faruqi | Anesthesiology | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2014-05-02 |
1720302946 | First Coast Pain and Spine Center LLC | Anesthesiology | 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 | 2010-03-17 |
1265659460 | Joseph Adam Cartwright | Anesthesiology | 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 | 2007-04-19 |
1699708693 | Pain Management Specialists of North Florida P A | Anesthesiology | 1301 Plantation Island Dr S Ste 301a, St Augustine, FL 32080-3117 | 2006-07-10 |
1235184805 | Eduardo Dieguez Jr. | Anesthesiology | 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 | 2006-05-23 |
1386201960 | Advanced Pain and Spine Institute of Florida LLC | Anesthesiology | 1301 Plantation Island Dr S Ste 302a, St Augustine, FL 32080-3117 | 2019-05-20 |
1346710571 | Florida Institute of Pain Medicine LLC | Anesthesiology | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-30 |
1932423563 | First Coast Pain Management | Anesthesiology | 100 Whetstone Pl Ste 310, St Augustine, FL 32086-5775 | 2010-03-25 |
1376782920 | James E Freidenstein | Anesthesiology | 105 Whitehall Dr Ste 115&116, St Augustine, FL 32086 | 2009-02-05 |
1851587406 | Eduardo Dieguez Jr Md Pa | Anesthesiology | 811 State Road 206 E Ste 1, St Augustine, FL 32086-4869 | 2007-09-18 |
Find all providers in ST AUGUSTINE |
City | ST AUGUSTINE |
Zip Code | 32086 |
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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.