DR. PETER BOTROUS (NPI# 1225145048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225145048 |
| Entity Type | Individual |
| Full Name | DR. PETER BOTROUS |
| Credential | MD |
| Practice Address |
Wjb Dorn Va Medical Center 6439 Garners Ferry Road Columbia SC 29209 |
| Practice Telephone | 8037764000 |
| Mailing Telephone | 8037764000 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
21332 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
WJB DORN VA MEDICAL CENTER 6439 GARNERS FERRY ROAD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104839323 | Owayed Al-nowaiser | Anesthesiology | Wjb Dorn Va Medical Center, 6439 Garners Ferry Road, Columbia, SC 29209 | 2006-08-15 |
| 1811009947 | Debra L Mitchell | Internal Medicine | Wjb Dorn Va Medical Center, Columbia, SC 29209 | 2006-08-31 |
| 1922114867 | Pamela Resendez | Nurse Anesthetist, Certified Registered | Wjb Dorn Va Medical Center, 6439 Garners Ferry Road, Columbia, SC 29209 | 2006-08-22 |
| 1528174455 | John Keith Blincow | Orthopaedic Surgery | Wjb Dorn Va Medical Center, 6439 Garners Ferry Road, Columbia, SC 29209 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| 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 |
|---|---|---|---|---|
| 1346732781 | Christopher Ryan Cunningham | Pathology | 1 Hospital Dr Dept Of, Columbia, MO 65212-1000 | 2018-06-01 |
| 1730679986 | Tao Zhang | Pathology | 1 Hospital Dr Bldg, Columbia, MO 65212-1000 | 2018-05-14 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1780061986 | Robert Jones | Pathology | 901 Rangeline St, Columbia, MO 65201-4562 | 2015-04-27 |
| 1407233604 | Jason Edward Denney | Pathology | 3601 W Broadway Apt 11-301, Columbia, MO 65203-0128 | 2015-04-27 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1932351764 | Kent J Newsom | Pathology | 1 Science Ct Ste 200, Professional Pathology Services, Columbia, SC 29203-9653 | 2008-10-10 |
| 1407967953 | John Logan Ward | Pathology | 30 Quinine Hl, Columbia, SC 29204-3414 | 2006-08-31 |
| 1790892594 | Joseph Elliott Benson Jr. | Pathology | 1107 Sequoya Trl, Columbia, TN 38401-8468 | 2006-08-25 |
| 1477585909 | Anita Godra | Pathology | 10320 Swift Stream Pl, #405, Columbia, MD 21044-4871 | 2006-07-07 |
| Find all providers in COLUMBIA | ||||
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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.