Palak J Patel

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PALAK J PATEL

Practice address

97825 Shopping Center Ave
Brookings, OR 97415-9403

Phone

(541) 412-9800

Fax

(541) 412-9600

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Palak J Patel, MDNPI 1922367572

Title

Owner

Phone

(541) 412-9800

Specialties & licenses 4

Addresses

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.

• Palak Jitendra Patel, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Brookings, OR
  • NPI 1922367572
  NPD (past) Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1699256198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6988",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150355",
            "telephone_number": "541-412-9800",
            "fax_number": "541-412-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97825 SHOPPING CENTER AVE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159403",
            "telephone_number": "541-412-9800",
            "fax_number": "541-412-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318359",
            "country_code": "US",
            "telephone_number": "707-464-8837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955312217",
            "country_code": "US",
            "telephone_number": "707-464-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALAK J PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PALAK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-412-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon Em-I Medical Services PC
• Oregon Em-I Medical Services PC
• Kimberly Ann Orta, NP
• Savannah Alexis Ott
• Armida Padilla
• Jitendra C Patel, MD
• Palak Jitendra Patel, MD
• Brittney Dawn Patton
• Paulson Eyecare
• Wayne Robert Paulson, O.D.

• Geriatric Medicine (Family Medicine) Physician in Brookings, OR
• Providers in Brookings, OR by specialty
• Geriatric Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.