VIJAYKUMAR SURENDRAKANT PATEL (NPI# 1922108976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922108976 |
| Entity Type | Individual |
| Full Name | VIJAYKUMAR SURENDRAKANT PATEL |
| Credential | MD |
| Practice Address |
1120 15th Street Augusta GA 30912 |
| Mailing Address |
1499 Walton Way Ste 1400 Augusta GA 30901-2650 |
| Practice Telephone | 7067213226 |
| Practice Fax Number | 7067217508 |
| Mailing Telephone | 7068286410 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 055415 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Q00619 | 05 | |
| GA | 681951152A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703866 | Vijaykumar N Patel | Family Medicine | 30900 Ford Rd Ste B, Suite B, Garden City, MI 48135-1892 | 2006-03-09 |
| 1316947633 | Vijaykumar G. Patel | Surgery | 1136 Cleveland Avenue, Ste 513, East Point, GA 30344 | 2005-07-28 |
| 1508284746 | Vijaykumar Patel | Pharmacist | 336 Drum Point Rd, Brick, NJ 08723-6840 | 2014-04-04 |
| 1053696690 | Vijaykumar G Patel | Pharmacist | 21828 23 Mile Rd, Macomb, MI 48042-4422 | 2011-10-14 |
| 1043223431 | Vijaykumar B. Patel | Internal Medicine | 1230 Jefferson St, Delano, CA 93215-2204 | 2006-08-15 |
| 1558343434 | Vijaykumar P Patel | Internal Medicine | 2515 Desales Ave Ste 206, Chattanooga, TN 37404-1100 | 2005-11-16 |
| Street Address |
1120 15TH STREET |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447237375 | Ricardo Azziz | Obstetrics & Gynecology | 1120 15th Street, Augusta, GA 30912-0004 | 2005-12-30 |
| 1174094668 | Mary Gabrielle Helfgott | Advanced Practice Midwife | 1120 15th Street, Ba #7513, Augusta, GA 30912 | 2018-12-10 |
| 1912492471 | Sarah Crumley Asmann | Nurse Practitioner | 1120 15th Street, Department of Surgery, Augusta, GA 30912 | 2018-06-27 |
| 1912499286 | Jillian Marie Soto | Family Medicine | 1120 15th Street, Augusta, GA 30912 | 2018-06-03 |
| 1447740741 | Amanda Meredith Saxon | Nurse Practitioner | 1120 15th Street, Bbr 6518, Augusta, GA 30912 | 2018-05-14 |
| 1447757968 | Mohamed M Meghil | Student in an Organized Health Care Education/Training Program | 1120 15th Street, Gc-1337, Augusta, GA 30912 | 2018-04-11 |
| 1942721667 | Christopher Glen Jackson | Emergency Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-07-03 |
| 1063933000 | Andrea Martinez-velez | Anesthesiology | 1120 15th Street, Augusta, GA 30912 | 2017-06-29 |
| 1063941409 | Viviam Skarleth Trejo | Surgery | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
| 1548799976 | Alexander Herzog | Internal Medicine | 1120 15th Street, Augusta, GA 30912 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295075703 | Holland Victor Moore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 747 Aumond Rd, Augusta, GA 30909-3258 | 2013-02-20 |
| 1891803821 | Dominic Gallo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3623 J Dewey Gray Cir Ste 202, Augusta, GA 30909-6554 | 2006-08-29 |
| 1700088143 | Carsten Schroeder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2007-06-05 |
| 1669535522 | M Vinayak Kamath | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-0004 | 2006-12-19 |
| 1477613917 | Michael A Watts | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1932269479 | William R Kitchens | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-12-12 |
| 1538268487 | Timothy J Hunter | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 820 Saint Sebastian Way, Suite 6 - B, Augusta, GA 30901-2643 | 2006-09-21 |
| 1942311436 | James D St. Louis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-4619 | 2006-08-31 |
| 1134238728 | Richard Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 15th St, Augusta, GA 30912-2539 | 2006-08-29 |
| 1730102021 | Augusta Cardiac and Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1348 Walton Way, Suite 5700, Augusta, GA 30901-5110 | 2006-07-26 |
| Find all providers in AUGUSTA | ||||
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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.