Active NPI
P B Patel MD Professional
- Gastroenterology Physician
- St Joseph, MO
National Provider Identifier
1386747749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508030004 | Medicaid | MO |
Other names 1
- Gastroenterology
National Provider Directory
National Provider DirectoryLocations
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.