My Tele Doctor

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MY TELE DOCTOR

Doing business as

My Tele Doctor

Practice address

203 Commerce Dr
Elizabethtown, KY 42701-1285

Phone

(502) 644-1000

NPI assigned

Apr 17, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nimish Girish Patel, DONPI 1184901001

Title

Owner

Phone

(502) 644-1000

Specialties & licenses 2

Addresses

Other names 1

• My Tele Doctor Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nimish G Patel, D.O.

  • Internal Medicine Physician
  • Danville, CA
  • NPI 1184901001
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1093335267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COMMERCE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011285",
            "telephone_number": "502-644-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 COMMERCE DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011285",
            "telephone_number": "502-644-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TELE DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMISH",
        "authorized_official_middle_name": "GIRISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-644-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Tele Doctor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Tele Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah L Murphy-Davies, LPCC
• Krystin Murphy, APSS
• Laura Lynn Murrell
• Jessica Muth, APRN
• My Mommy Store
• Erica Renee Myers, BA
• Robert Kemp Myers Sr., M.D.
• Bailey Lynn Nance
• Sarah Lynn Nannery
• Joseph Kyle Nash, MD

• Internal Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.