HEARTLAND PATHOLOGY ASSOCIATES PA (NPI# 1164491635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164491635 |
| Entity Type | Organization |
| Organization Name | HEARTLAND PATHOLOGY ASSOCIATES PA |
| Practice Address |
4200 Sun N Lake Blvd Sebring FL 33872-1986 |
| Mailing Address |
Po Box 864442 Orlando FL 32886-4442 |
| Practice Telephone | 8634023453 |
| Practice Fax Number | 8634023463 |
| Mailing Telephone | 8634023453 |
| Mailing Fax Number | 8634023463 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | DINI RADA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8634023453 |
| 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 |
Allopathic & Osteopathic Physicians |
| Street Address |
4200 SUN N LAKE BLVD |
| City | SEBRING |
| State | FL |
| Zip Code | 33872-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116991 | David J Rippe | Radiology | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2005-07-06 |
| 1235763970 | Benjamin Auyang | Speech-Language Pathologist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2020-03-02 |
| 1386284404 | Ryan Charles Harvey | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2020-01-07 |
| 1750924866 | Visleyca Esther Catedral Rodriguez | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-21 |
| 1780227074 | Daniella Denyse Khemnarine | Registered Nurse | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-20 |
| 1588206452 | Anai Cervera | Nurse Practitioner | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-10-12 |
| 1801444807 | Christopher Chrosniak | Registered Nurse | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2019-09-03 |
| 1386122117 | Munesh Pidana | Nurse Anesthetist, Certified Registered | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-08-03 |
| 1821593047 | Mary Michelle Tamayo | Pharmacist | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-03-28 |
| 1770087355 | Adventist Health System-sunbelt Inc | Pharmacy | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
| 1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
| 1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
| 1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
| 1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
| 1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
| 1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
| 1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
| Find all providers in zip 33872 | ||||
| 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 |
|---|---|---|---|---|
| 1952561235 | Amelia C Tecson-miguel | Pathology | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2008-06-11 |
| 1881742120 | George Leidel | Pathology | 3600 S Highlands Ave, Sebring, FL 33870-5416 | 2007-01-05 |
| 1538186549 | Behjat Kouchekzadeh | Pathology | 3581 S Highlands Ave, Sebring, FL 33870-5410 | 2006-07-16 |
| 1871562348 | Dini Rada | Pathology | 4200 Sun N Lake Blvd, Sebring, FL 33872 | 2006-03-16 |
| 1245209717 | Elena F Febre | Pathology | 4200 Sun N Lake Blvd, Sebring, FL 33872 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEARTLAND PATHOLOGY ASSOCIATES PA.
| 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.