KESHAVJIVAN PLLC (NPI# 1922653690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922653690 |
| Entity Type | Organization |
| Organization Name | KESHAVJIVAN PLLC |
| Other Organization Name | SONORAN FAMILY PRACTICE |
| Practice Address |
171 W Central Ave Coolidge AZ 85128-4405 |
| Mailing Address |
27417 N Covered Wagon Rd Phoenix AZ 85085-3790 |
| Practice Telephone | 5207237726 |
| Mailing Telephone | 6023322878 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | CHETAN SHAILESHKUMAR PATEL (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 6023322878 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Sonoran Family Practice | Doing Business As Name - Organization |
| Street Address |
171 W CENTRAL AVE |
| City | COOLIDGE |
| State | AZ |
| Zip Code | 85128-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734750 | Edward James Powell | Physician Assistant | 171 W Central Ave, Coolidge, AZ 85228-4405 | 2006-11-08 |
| 1053775635 | Chetan Shaileshkumar Patel | Nurse Practitioner | 171 W Central Ave, Coolidge, AZ 85128-4405 | 2016-04-08 |
| 1770748477 | Sonoran Family Practice | Physician Assistant | 171 W Central Ave, Coolidge, AZ 85228-4405 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629636253 | Terhea A Smith | Physical Therapy Assistant | 2155 W Pima Ave, Coolidge, AZ 85128 | 2019-05-29 |
| 1912310913 | Josette Rossi | Counselor | 556 South Arizona Ave., Pinal Hispanic Council, Coolidge, AZ 85128 | 2014-06-06 |
| 1952745531 | Community Partners Integrated Healthcare, Inc. | Community/Behavioral Health | 120b N Arizona Blvd., Ste. F, Coolidge, AZ 85128 | 2013-04-25 |
| 1346550878 | Laura Grace Lew | Registered Nurse | 800 W. Northern Ave., Coolidge, AZ 85128 | 2010-10-18 |
| 1962682203 | Douglas Santiago | Audiologist | 4713 West Ginger Avenue, Coolidge, AZ 85128 | 2007-11-04 |
| 1528113859 | Pinal County Arizona | Public Health or Welfare | 119 W. Central Avenue, Coolidge, AZ 85128 | 2007-01-25 |
| 1265085567 | The River's Edge Dental | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128 | 2019-07-17 |
| 1700291440 | Robin Wilson | Nurse Practitioner | 1284 N Arizona Blvd, Coolidge, AZ 85128 | 2014-06-20 |
| 1407981384 | Max A Almodovar | Dentist | 417 W Central Ave, Ste #a, Coolidge, AZ 85128-0028 | 2007-02-22 |
| 1093805160 | Michael Eugene Wilkinson | Dentist | 1185 N Arizona Blvd, Coolidge, AZ 85128-3203 | 2006-10-12 |
| Find all providers in zip 85128 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1447864202 | Soma Care, LLC | Nurse Practitioner | 6944 E Broadway Rd Ste A, Mesa, AZ 85208-1916 | 2020-08-31 |
| 1497367403 | Daryl Lyons | Nurse Practitioner | 18095 W Santa Irene Dr, Goodyear, AZ 85338-5456 | 2020-08-20 |
| 1538787072 | Brijeshaben Urvish Patel | Nurse Practitioner | 13300 N 88th Ave Apt 2007, Peoria, AZ 85381-2614 | 2020-07-10 |
| 1043835424 | Us Live Clinic LLC | Nurse Practitioner | 12610 E Laurel Ln, Scottsdale, AZ 85259-3460 | 2020-06-11 |
| 1831713148 | Alexis Petra Md | Nurse Practitioner | 21835 N 51st St, Phoenix, AZ 85054-7140 | 2020-06-02 |
| 1245851955 | Amy Rachelle Dunn | Nurse Practitioner | 7563 E Plata Ave, Mesa, AZ 85212-9729 | 2020-05-04 |
| 1700407426 | Joan N Nunoo | Nurse Practitioner | 3852 E Santa Fe Ln, Gilbert, AZ 85297-8529 | 2020-05-04 |
| 1326675166 | Kendrick Wright | Nurse Practitioner | 2727 E Camelback Rd Apt 525, Phoenix, AZ 85016-4481 | 2020-03-23 |
| 1518591510 | Laura Larson | Nurse Practitioner | 1929 W Fillmore St Bldg C, Phoenix, AZ 85009-3812 | 2020-02-27 |
| 1538791512 | Silverleaf Health LLC | Nurse Practitioner | 20715 N Pima Rd Ste 108, Scottsdale, AZ 85255-6685 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
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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.