Organization Active NPI

P B Patel MD Professional

  • Gastroenterology Physician
  • St Joseph, MO
National Provider Identifier
1386747749
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
P B PATEL MD PROFESSIONAL
Doing business as
Gastroenterology
Practice address
1011 East Saint Maartens Dr
St Joseph, MO 64506
Phone
(816) 232-0185
Fax
(816) 364-6225
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Mrs. Priti P Patel
Title
Secretary for the Corporation
Phone
(816) 232-0185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1011 East Saint Maartens Dr
St Joseph, MO 64506

Mailing address

1011 East Saint Maartens Dr
St Joseph, MO 64506
Phone (816) 232-0185

Other identifiers 1

IdentifierTypeStateIssuer
508030004MedicaidMO

Other names 1

  • Gastroenterology Doing business as

National Provider Directory

National Provider Directory

Locations

1011 E Saint Maartens Dr
#A
Saint Joseph, MO 64506
Phone (816) 232-0185

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1386747749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 EAST SAINT MAARTENS DR",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-0185",
            "fax_number": "816-364-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 EAST SAINT MAARTENS DR",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-0185",
            "fax_number": "816-364-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P B PATEL MD PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SECRETARY FOR THE CORPORATION",
        "authorized_official_telephone_number": "816-232-0185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508030004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.