Jayna Shashikant Patel (NPI# 1619109154, PAC ID# 5799008504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1619109154 |
| PAC ID by PECOS | 5799008504 |
| Professional Enrollment ID | I20150101000035 |
| Full Name | Jayna Shashikant Patel |
| Organization Legal Name | COASTAL CAROLINA ENT DO PA |
| Address |
2298 Ocean Hwy W Supply NC 28462-4024 |
| Phone Number | 9107553682 |
| Gender | F |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 8325082498 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340068 | COLUMBUS REGIONAL HEALTHCARE SYSTEM |
| 340158 | NOVANT HEALTH BRUNSWICK MEDICAL CENTER |
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2298 Ocean Hwy W, Supply, NC 28462-4024 | 9107553682 | COASTAL CAROLINA ENT DO PA |
| 302 Liberty St, Whiteville, NC 28472-3714 | 9109140540 | COASTAL CAROLINA ENT DO PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COASTAL CAROLINA ENT DO PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erik L Kenyon | Otolaryngology | Coastal Carolina Ent Do Pa | 302 Liberty St, Whiteville, NC 28472-3714 |
| Michael D Peters | Otolaryngology | Coastal Carolina Ent Do Pa | 302 Liberty St, Whiteville, NC 28472-3714 |
| James Dimuzio Jr. | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Marie M Wheatley | Nurse Practitioner | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Jeffrey Coury | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Street Address |
2298 OCEAN HWY W |
| City | SUPPLY |
| State | NC |
| Zip | 28462-4024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Alan Bailey | Qualified Audiologist | Coastal Hearing Centers, Inc | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Joshua David Cillo | Qualified Audiologist | Coastal Hearing Centers, Inc | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| James Dimuzio Jr. | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Marie M Wheatley | Nurse Practitioner | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Jeffrey Coury | Otolaryngology | Coastal Carolina Ent Do Pa | 2298 Ocean Hwy W, Supply, NC 28462-4024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita M Desimone | Occupational Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Benjamin Clark | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Mary F Stoker | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Thomas Lair | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Kurt Kildow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Scott Thomas | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Brittainy R Edwards Kidlow | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Kathleen May Franzen | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Vaughn Leigh Moore | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Suite 204, Supply, NC 28462-0001 |
| Erin Brooke Bostic | Physical Therapy | Carolina Rehabilitation Inc | 20 Medical Campus Dr, Supply, NC 28462-0001 |
| Find all physicians in zip 28462 | |||
| City | SUPPLY |
| Zip Code | 28462 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SUPPLY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jayna Shashikant 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.