Active NPI
Jitendra K. Patel M.D. Inc
- Family Medicine Physician
- Portsmouth, OH
National Provider Identifier
1689758807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35069645P
- Legal business name
- JITENDRA K. PATEL M.D. INC
- Practice address
- 723 8TH St
Portsmouth, OH 45662-4265 - Phone
- (740) 353-5306
- Fax
- (740) 353-8131
- NPI assigned
- Oct 24, 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
- Dr. Jitendra K Patel, M.D
- Title
- President
- Phone
- (740) 353-5306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35069645P | OH | Primary |
Addresses
Primary practice location
723 8TH St
Portsmouth, OH 45662-4265
Mailing address
723 8TH St
Portsmouth, OH 45662-4265
Phone (740) 353-5306
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9371761 | Other | OH | MEDICARE GROUP # |
| 000000187307 | Other | OH | BCBS |
| 0207565 | Medicaid | OH | |
| 2806977 | Other | OH | GROUP MEDICAID |
| 64952237 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
4136 Germany Rd
Beaver, OH 45613
Phone (740) 226-3074
2274 McDermott Pond Creek Rd
Mc Dermott, OH 45652
Phone (740) 259-2838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Ashland, KY
- NPI 1457390791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1689758807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 8TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624265",
"telephone_number": "740-353-5306",
"fax_number": "740-353-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 8TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456624265",
"telephone_number": "740-353-5306",
"fax_number": "740-353-8131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JITENDRA K. PATEL M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "JITENDRA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-353-5306",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35069645P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "9371761",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000187307",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0207565",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "2806977",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64952237",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.