Ketul R Patel (NPI# 1336262146, PAC ID# 0345499869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1336262146 |
| PAC ID by PECOS | 0345499869 |
| Professional Enrollment ID | I20120927000153 |
| Full Name | Ketul R Patel |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Address |
3635 S Clyde Morris Blvd Suite 100 Port Orange FL 32129-2349 |
| Phone Number | 3867881242 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6507761301 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100017 | HALIFAX HEALTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 | 9042880433 | BORLAND-GROOVER CLINIC PA |
| 305 Clyde Morris Blvd, Suite 270, Ormond Beach, FL 32174-8182 | 3867881242 | BORLAND-GROOVER CLINIC PA |
| 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 | 3867881242 | BORLAND-GROOVER CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Bharat K Misra | Gastroenterology | Borland-groover Clinic Pa | 3627 University S Blvd, Suite 705, Jacksonville, FL 32216-7403 |
| Daniel A Scharifker | Pathology | Borland-groover Clinic Pa | 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6528 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Michael Ibach | Gastroenterology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Grant T Whittaker | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Shenelle Davis Paulson | Nurse Practitioner | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Street Address |
3635 S CLYDE MORRIS BLVD SUITE 100 |
| City | PORT ORANGE |
| State | FL |
| Zip | 32129-2349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Tamara Ray Clancy | Hand Surgery | Volusia Hand Surgery Clinic Pa | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352 |
| Michel C Samson | Plastic and Reconstructive Surgery | 3635 S Clyde Morris Blvd, Suite 400, Port Orange, FL 32129-2349 | |
| Charles B Williamson | Orthopedic Surgery | 3635 S Clyde Morris Blvd, Suite 600, Port Orange, FL 32129-2353 | |
| Katie Weisz | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Sarah E Henry | Orthopedic Surgery | Volusia Hand Surgery Clinic Pa | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352 |
| Sunil P Pasricha | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Vicki L Aunspaugh | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Julie T Bonamo | Occupational Therapy | Daytona Beach Hand Clinic, Inc | 3635 S Clyde Morris Blvd, Suite 300, Port Orange, FL 32129-2349 |
| Srikanth Eathiraju | General Surgery | Volusia Hand Surgery Clinic Pa | 3635 S Clyde Morris Blvd, Suite 900, Port Orange, FL 32129-2352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothy W Porter | Physician Assistant | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Clayton T Saxour | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Anita V Lee | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Diane R Orlando | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Candace B. Donley | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Charles W Stewart | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Ambili G Gopinathan Nair | Certified Registered Nurse Anesthetist (crna) | Amsurg Port Orange Anesthesia LLC | 3635 Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2351 |
| Gloria Nikole Felder | Nurse Practitioner | Metcare of Florida Inc | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Qing J Ge | Ophthalmology | 3641 S Clyde Morris Blvd, Suite 500, Port Orange, FL 32129-2357 | |
| Ibukun Woodson | Nurse Practitioner | Metcare of Florida Inc | 3641 Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2357 |
| Find all physicians in zip 32129 | |||
| City | PORT ORANGE |
| Zip Code | 32129 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | PORT ORANGE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Ketul R Patel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.