DR. ROSHAN S PATEL (NPI# 1871758177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871758177 |
| Entity Type | Individual |
| Full Name | DR. ROSHAN S PATEL |
| Credential | M.D. |
| Practice Address |
98 Poplar St Blackfoot ID 83221-1758 |
| Mailing Address |
377 Spoon Dr Pocatello ID 83204-3814 |
| Practice Telephone | 2087822478 |
| Mailing Telephone | 7738021100 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
M-11088 | ID | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | M-11088 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629403365 | Roshan S Patel | Dentist | 1102 Connemara Ln, Pflugerville, TX 78660-5201 | 2013-09-12 |
| 1518252212 | Roshan Ashokkumar Patel | Internal Medicine | 10000 W Colonial Dr Ste 394, Ocoee, FL 34761-3433 | 2011-06-10 |
| 1629249099 | Roshan Maneklal Patel | Pharmacist | 1067 Oak Hills Parkway, Baton Rouge, LA 70810 | 2008-03-13 |
| 1477162923 | Roshan Patel | Optometrist | 11308 N Pennsylvania Ave, Oklahoma City, OK 73120-7752 | 2020-07-29 |
| 1487117271 | Roshan Patel | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester Hills, MI 48307-1863 | 2019-04-09 |
| 1801392717 | Roshan Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2018-04-01 |
| 1861996654 | Roshan Pravin Patel | Student in an Organized Health Care Education/Training Program | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2018-03-19 |
| 1649782780 | Roshan Patel | Pharmacist | 1601 S Air Depot Blvd, Midwest City, OK 73110-5101 | 2017-10-30 |
| 1679094239 | Roshan Patel | Hospitalist | 760 Broadway, Brooklyn, NY 11206-5317 | 2017-07-04 |
| 1255880852 | Roshan Patel | Physical Therapist | 21475 Ridgetop Cir, Sterling, VA 20166-6580 | 2016-09-25 |
| Street Address |
98 POPLAR ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871474 | Wade H Flowers Jr. | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2005-06-16 |
| 1629685177 | Lucus Craig Webb Christoffersen | Registered Nurse | 98 Poplar St, Blackfoot, ID 83221-1799 | 2020-09-29 |
| 1770111924 | Kywnynn Madsen | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2020-03-31 |
| 1235795915 | Megan Lewis | Advanced Practice Midwife | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-05-17 |
| 1083177935 | Jason Lee Harmon | Student in an Organized Health Care Education/Training Program | 98 Poplar St, Blackfoot, ID 83221-1758 | 2019-04-08 |
| 1851870091 | Jennifer L Wistisen | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1799 | 2018-08-08 |
| 1114405396 | Ryan Blair Killpack | Physician Assistant | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-31 |
| 1023504651 | Amanda Wray | Pharmacist | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-07-06 |
| 1699268276 | Zachary D Morrow | Nurse Anesthetist, Certified Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2018-06-08 |
| 1184115107 | Megan Nicole Broyles | Pharmacist | 98 Poplar St, Blackfoot, ID 83221 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952673204 | Donald K Merkeley | Pathology | 16301 E Bunco Rd, Athol, ID 83801-5048 | 2012-02-02 |
| 1013159441 | Lawrence Lyle Knight | Pathology | 5181 N Lakemont Ln, Garden City, ID 83714-1772 | 2009-03-31 |
| 1578674560 | Daniel Louis Toweill | Pathology | 1151 W. Miller St., Boise, ID 83702-6965 | 2006-08-31 |
| 1821093527 | Michael J Myhre | Pathology | 1151 Miller St, Boise, ID 83702-6965 | 2005-06-17 |
| 1215253240 | Elizabeth M Williams | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-15 |
| 1386960466 | Karen Ann Johnson | Pathology | 190 E Bannock St, Boise, ID 83712-6241 | 2010-04-14 |
| 1013168830 | Brian John Hall | Pathology | 999 N Curtis Rd, Ste 117, Boise, ID 83706-1336 | 2008-10-10 |
| 1821261918 | Mark Owen Moore | Pathology | 999 N Curtis Rd, Suite 117, Boise, ID 83706-1336 | 2008-04-09 |
| 1093996365 | Rebecca L. Fulton | Pathology | 415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 | 2007-11-15 |
| 1275729261 | Western Idaho Pathology Pa | Pathology | 1717 Arlington Ave, Caldwell, ID 83605-4802 | 2007-09-24 |
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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.