Raxit R Patel (NPI# 1417118605, PAC ID# 9436338571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1417118605 |
| PAC ID by PECOS | 9436338571 |
| Professional Enrollment ID | I20110121000627 |
| Full Name | Raxit R Patel |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Address |
460 Northside Cherokee Blvd Suite 130 Canton GA 30115-8016 |
| Phone Number | 6784932527 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 9638343924 |
| Number of Group Practice Members | 187 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 | 6784932527 | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Hartman | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Johnson Ferry Rd, Suite 500, Atlanta, GA 30342-1630 |
| Hannah Butler Cummings | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3380 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Katy R Hanaford | Nurse Practitioner | Northside Primary Care Professional Services,llc | 3850 Windermere Pkwy, Suite 105, Cumming, GA 30041-7033 |
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Melissa A Dubois | Nurse Practitioner | Northside Primary Care Professional Services,llc | 960 Woodstock Pkwy, Suite 300, Woodstock, GA 30188-4867 |
| Gorka Zurinaga | Internal Medicine | Northside Primary Care Professional Services,llc | 11785 Northfall Ln, Suite 505, Alpharetta, GA 30009-7961 |
| Otto C Goyco | Internal Medicine | Northside Primary Care Professional Services,llc | 3340 Paddock Pkwy, Suwanee, GA 30024-9119 |
| Karen P Cooksey | Nurse Practitioner | Northside Primary Care Professional Services,llc | 10745 W Way, Suite 125, Alpharetta, GA 30009 |
| Lonnie Herzog | Internal Medicine | Northside Primary Care Professional Services,llc | 5670 Peachtree-dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342-4791 |
| Syed Wasi Rizvi | Internal Medicine | Northside Primary Care Professional Services,llc | 3400 A-old Milton Pkwy, Suite 200, Alpharetta, GA 30005-3707 |
| Street Address |
460 NORTHSIDE CHEROKEE BLVD SUITE 130 |
| City | CANTON |
| State | GA |
| Zip | 30115-8016 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Stanley Krahnke | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Katie Frisbee | Physician Assistant | Northside Surgical Professional Services LLC | 460 Northside Cherokee Blvd, Canton, GA 30115-8016 |
| Michelle A Glasgow | Obstetrics/gynecology | Northside Surgical Professional Services LLC | 460 Northside Cherokee Blvd, Suite 400, Canton, GA 30115-8016 |
| Gregory R Crawley | Orthopedic Surgery | 460 Northside Cherokee Blvd, Suite 430, Canton, GA 30115-8020 | |
| Forrest Ray Powers | Rheumatology | Medical Associates Professional Services, LLC | 460 Northside Cherokee Blvd, Suite 300, Canton, GA 30115-8019 |
| Jamie Threatt | Nurse Practitioner | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Carole J Lovering | Nurse Practitioner | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Kara Stinehart | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee Blvd, Suite 400, Canton, GA 30115-8016 |
| Amy Mccloskey | Nurse Practitioner | Northside Surgical Professional Services LLC | 460 Northside Cherokee Blvd, Suite 400, Canton, GA 30115-8016 |
| Shirish S. Amrutia | Pulmonary Disease | Northside Primary Care Professional Services,llc | 460 Northside Cherokee Blvd, Suite 130, Canton, GA 30115-8016 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Ann Cartmell | Nurse Practitioner | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Aashish Desai | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Gordon Jerome Azar Jr. | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Ramal M Weragoda | Cardiac Electrophysiology | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Bingchan Zhang | Radiation Oncology | North Atlanta Professional Services LLC | 460 Northside Cherokee, Suite T10, Canton, GA 30115 |
| Hyo Jin Song | Cardiovascular Disease (cardiology) | Northside Cardiovascular Professional Services,llc | Northside Heart, 460 Northside Cherokee Blvd. Suite 190, Canton, GA 30115 |
| Vanessa Aquino-dick | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Valerie P Ciesla | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ana A Mccook | Physical Therapy | Embrace Mobility Therapy Services | 402 Argonne Ter, Suite 220, Holly Springs, GA 30115-1880 |
| Ashley Burin | Physical Therapy | Pt Solutions of Acworth LLC | 1810 Cumming Hwy, Canton, GA 30115-2306 |
| Find all physicians in zip 30115 | |||
| City | CANTON |
| Zip Code | 30115 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CANTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Raxit 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.