Suresh M Patel MD PMC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01028231A Issued in IN

Legal business name

SURESH M PATEL MD PMC

Practice address

1475 E State Road 44
Connersville, IN 47331-8292

Phone

(765) 827-1903

Fax

(765) 827-1918

NPI assigned

Sep 24, 2008

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suresh Patel, MDNPI 1548231616

Title

Owner

Phone

(765) 825-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh Patel, MD

  • Surgery Physician
  • Connersville, IN
  • NPI 1548231616
  Authorized official Same address or phone

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1629228853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473310779",
            "telephone_number": "765-825-8686",
            "fax_number": "765-827-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E STATE ROAD 44",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473318292",
            "telephone_number": "765-827-1903",
            "fax_number": "765-827-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH M PATEL MD PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-825-8686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01028231A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark Edward Sullenbarger, PTA
• John U. Tan, MD
• Jillian L Tebbe, LCSW
• Renee Anne Telker, RN
• Clay Tenbarge, DC
• The Eye Center Group LLC (Connersville Eye Center)

• Surgery Physician in Connersville, IN
• Providers in Connersville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.