C-S AND J PATHOLOGY MEDICAL GROUP, INC. (NPI# 1114916855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114916855 |
| Entity Type | Organization |
| Organization Name | C-S AND J PATHOLOGY MEDICAL GROUP, INC. |
| Practice Address |
2170 South Ave Barton Memorial Hospital-pathology South Lake Tahoe CA 96150-7026 |
| Mailing Address |
352 Lincoln Dr Ventura CA 93001-2322 |
| Practice Telephone | 5305423000 |
| Practice Fax Number | 5305430124 |
| Mailing Telephone | 8056521516 |
| Mailing Fax Number | 8056522157 |
| Enumeration Date | 2005-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MINDY ELLEN COOPER-SMITH (PRESIDENT) |
| Authorized Official Telephone | 8056521516 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 2088350 | 05 | |
| CA | GR0016260 | 05 |
| Street Address |
2170 SOUTH AVE BARTON MEMORIAL HOSPITAL-PATHOLOGY |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690485 | Marissa Rose Muscat | Family Medicine | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2005-06-28 |
| 1487201091 | Holly Anne Burnam | Registered Nurse | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2019-08-20 |
| 1447725916 | Leeann Mills | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-10-10 |
| 1639653322 | Jessica Tina Cone | Occupational Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-09-19 |
| 1972093391 | Jordan Corinne Myers | Technician | 2170 South Ave, South Lake Tahoe, CA 96150-7008 | 2018-05-10 |
| 1780185892 | Harrison Thomas Calhoun Brown | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-23 |
| 1578064788 | Morgan Humble | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2018-02-22 |
| 1326576893 | Heather Applegate | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-30 |
| 1306372214 | Julie Fernandez | Physical Therapist | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2017-05-11 |
| 1316480981 | Jordan Lewis Bugarske | Physical Therapy Assistant | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2016-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| 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 |
|---|---|---|---|---|
| 1093766933 | Roderick Randolph Turner | Pathology | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2006-05-15 |
| 1396734877 | Mindy Ellen Cooper-smith | Pathology | 2170 South Ave, Barton Memorial Hospital Pathology, South Lake Tahoe, CA 96150 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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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.