OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC (NPI# 1093787657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093787657 |
| Entity Type | Organization |
| Organization Name | OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC |
| Practice Address |
350 Hospital Dr Macon GA 31217-3838 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 4787420093 |
| Practice Fax Number | 4787419818 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | DR. EDWARD M KRAMER (VP) |
| Authorized Official Telephone | 6105503000 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERIPATH INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
11D0982593 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | CI0777 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428247 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 2275 Northwest Pkwy Se, Suite 140, Marietta, GA 30067-9321 | 2006-06-21 |
| 1538368501 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 2275 Northwest Pkwy Se, Suite 140, Marietta, GA 30067-9321 | 2007-07-11 |
| 1467502716 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 350 Hospital Dr, Macon, GA 31217-3838 | 2007-01-11 |
| Street Address |
350 HOSPITAL DR |
| City | MACON |
| State | GA |
| Zip Code | 31217-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
| 1861091340 | Shelby Walker | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-10-26 |
| 1134751191 | Peach State Anesthesia Partners, LLC | Anesthesiology | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-02-07 |
| 1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
| 1306328323 | Antoinette Mariano-sabido | Physician Assistant | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-09-06 |
| 1790293751 | Robert Perry | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-01-11 |
| 1427571827 | Saleha Asghar | Hospitalist | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-07-18 |
| 1366977647 | Mitali Mehta | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-25 |
| 1720512072 | James Weaver Corley Iv | Student in an Organized Health Care Education/Training Program | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-13 |
| 1487001798 | Terrill Anthony Cooper | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
| 1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
| 1033366570 | Sarah E Hamler | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2008-08-27 |
| 1982768016 | Benjamin Douglas Morton IIi | Pathology | 777 Hemlock St, Macon, GA 31201-2102 | 2006-12-21 |
| 1215916333 | Alexander R Mitchell | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-17 |
| 1942289061 | James E Phillips | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957148 | Thomas E Cotter | Pathology | 1120 15th St # Bf-103b, Augusta, GA 30912-0004 | 2020-06-17 |
| 1386269835 | Pramila Pallikkappara Moideen | Pathology | Augusta University Medical Center Room Bf-103-b, Augusta, GA 30912-0001 | 2020-06-10 |
| 1437678950 | Thomas William Stewart Jr. | Pathology | 3138 Marthasville Court, Gainesville, GA 30506 | 2017-09-15 |
| 1700225760 | Robert John Nelms Jr. | Pathology | 107 Fairway Dr, Moultrie, GA 31768-6823 | 2013-06-22 |
| 1750725099 | Charles Jacob Stoudenmire | Pathology | 507 W 3rd Ave Ste 7, Albany, GA 31701 | 2013-04-17 |
| 1902143589 | Lindsey Oreita Lowder | Pathology | 1968 Peachtree Rd Nw Bldg 774th, Atlanta, GA 30309-1281 | 2013-01-15 |
| 1184918476 | Stephen Alan Dayan | Pathology | 830 Johns Landing Way, Lawrenceville, GA 30045-6369 | 2011-06-03 |
| 1760793673 | Andrew Erling Johnsen | Pathology | 3248 Avalon Pkwy, Conyers, GA 30013-6320 | 2010-06-24 |
| 1497066518 | Charles Omar Wilson Jr. | Pathology | 175 Samaritan Way, Jasper, GA 30143 | 2010-06-23 |
| 1073840864 | Jyotsna K Dhar | Pathology | 1331 Marietta Country Club Dr Nw, Kennesaw, GA 30152-4733 | 2009-11-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.