HALIFAX PATHOLOGY ASSOCIATES PA (NPI# 1265493878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265493878 |
| Entity Type | Organization |
| Organization Name | HALIFAX PATHOLOGY ASSOCIATES PA |
| Practice Address |
303 N Clyoe Morris Blvd Daytona Beach FL 32114 |
| Mailing Address |
569 Healty Blvd Suite A Daytona Beach FL 32114-1499 |
| Practice Telephone | 3862544139 |
| Practice Fax Number | 3862548265 |
| Mailing Telephone | 3862587668 |
| Mailing Fax Number | 3862587671 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN M POPOK (PRESIDENT) |
| Authorized Official Telephone | 3862587668 |
| Authorized Official Credential | MD |
| 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 |
303 N CLYOE MORRIS BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| 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 |
|---|---|---|---|---|
| 1588663504 | Douglas Mark Hughes | Pathology | Halifx Medical Center, 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-1838 | 2005-07-20 |
| 1831539923 | Jason Chen | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2013-07-03 |
| 1750464152 | Crystal P Jenkins | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-10-23 |
| 1487689758 | Virendra D Desai | Pathology | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2006-07-12 |
| 1346200656 | William P Douglass | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-23 |
| 1861452120 | Thomas J Green | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-23 |
| 1912967225 | Jane L Chen | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-23 |
| 1386603900 | Steven M Popok | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-22 |
| 1861451593 | Lora J Shehi | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-03-21 |
| 1124092598 | Christopher D. Ingram | Pathology | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-02-14 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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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.