Nitin C Patel MD LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

113716 Issued in MO

Legal business name

NITIN C PATEL MD LLC

Doing business as

Columbia Center for Child Neurology

Practice address

1100 Club Village Dr Ste 102
Columbia, MO 65203-4411

Phone

(573) 447-4400

Fax

(573) 303-0140

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Nitin C Patel

Title

M.D.

Phone

(573) 442-0940

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Columbia Center for Child Neurology Doing business as

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1255776704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-447-4400",
            "fax_number": "573-303-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-447-4400",
            "fax_number": "573-303-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITIN C PATEL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NITIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "573-442-0940"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "113716",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MO",
            "license": "113716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208870808",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR MEDICARE",
            "identifier": "370009866",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Center for Child Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter James Nilsson, DO
• Heather Rae Ninichuck, PHARM.D.
• Shraddha Niphadkar, PHD, LP
• Puja Nistala, M.D.
• Ravi Nistala, M.D.
• Jessica Rae Nittler, M.D.
• Tyler K. Nivens, DDS
• Ashley Nixon-Mongler, PHARMD
• Kaitlyn Rose Nixon
• Rafa Ahmed Nizam, MD

• Neurology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.