NPIMap

Organization Active NPI

Subodh G. Patel M.D.P.C.

  • Urology Physician
  • Uniontown, PA
National Provider Identifier
1982722294
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD022718E Issued in PA
Legal business name
SUBODH G. PATEL M.D.P.C.
Practice address
104 Delaware Ave
Suite 240
Uniontown, PA 15401-3100
Phone
(724) 438-1300
Fax
(724) 438-1400
NPI assigned
Mar 26, 2007
Last updated
Sep 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. Subodh G. Patel, M.D.NPI 1659338598
Title
President
Phone
(724) 438-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD022718E PA Primary

Addresses

Primary practice location

104 Delaware Ave
Suite 240
Uniontown, PA 15401-3100

Mailing address

306 Saratoga Dr
Uniontown, PA 15401-5600
Phone (724) 439-8072

Other identifiers 1

IdentifierTypeStateIssuer
010889260003MedicaidPA

National Provider Directory

National Provider Directory

Locations

129 Simpson Rd
Ste 106
Brownsville, PA 15417
Phone (724) 785-7010

205 Easy St
Ste 106
Uniontown, PA 15401
Phone (724) 438-1300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1982722294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SARATOGA DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015600",
            "telephone_number": "724-439-8072",
            "fax_number": "724-438-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DELAWARE AVE",
            "address_2": "SUITE 240",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013100",
            "telephone_number": "724-438-1300",
            "fax_number": "724-438-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBODH G. PATEL M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-438-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD022718E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010889260003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.