DR. ROBERT W WETHERINGTON


Address: 2000 Lake Park Dr Se, Smyrna, GA 30080-7611
Phone: 6785569411

DR. ROBERT W WETHERINGTON (NPI# 1285613307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285613307
Entity Type Individual
Full Name DR. ROBERT W WETHERINGTON
Credential MD
Practice Address 2000 Lake Park Dr Se
Smyrna
GA 30080-7611
Mailing Address P.o. Box 3429
Augusta
GA 30914-3429
Practice Telephone 6785569411
Practice Fax Number 6785569413
Mailing Telephone 7067374575
Mailing Fax Number 7067315289
Enumeration Date 2006-01-17
Last Update Date 2013-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0900X Dermatology
Specialization: Dermatopathology
044376 GA Allopathic & Osteopathic Physicians
Y 207ZD0900X Pathology
Specialization: Dermatopathology
044376 GA Allopathic & Osteopathic Physicians
N 207ZP0101X Pathology
Specialization: Anatomic Pathology
044376 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 000968019B 05
TRICARE 272341992 01

Office Location

Street Address 2000 LAKE PARK DR SE
City SMYRNA
State GA
Zip Code 30080-7611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295386928 Podpath, Inc Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2019-09-24
1558789594 Emily Mae Erstine Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2014-04-05
1689019184 Abha Soni Dermatology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2013-05-09
1083059950 Melissa Dillard Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2013-05-06
1497072920 Skinpath Solutions Inc. Clinical Medical Laboratory 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2010-04-23
1497089874 Wael H Milyani Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080 2009-10-01
1811041049 Dipti Anand Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2007-01-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205169 Suny Varughese Nurse Practitioner Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 2020-08-11
1891287645 Provident Group - Creekside Properties LLC Alzheimer Center (Dementia Center) 4838 South Cobb Drive, Smyrna, GA 30080 2018-06-06
1710490743 Alina Rim Registered Nurse 4532 Chelton Ct Se, Smyrna, GA 30080 2017-11-13
1932626488 Richard Kyle Davis Pharmacist 2955 Atlanta Rd Se, Smyrna, GA 30080 2017-08-25
1982071163 Amelia Rafaela Turrubiates-huacuja Counselor 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 2015-08-24
1275919755 Anne Waldner Rohling Physical Therapist 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 2015-08-06
1790167856 Kay Yetunde Johnson Nurse Practitioner 3001 Lusk Dr, Smyrna, GA 30080 2015-06-25
1689055436 Anew You Couneling, LLC Community/Behavioral Health 3188 Atlanta Rd, Smyrna, GA 30080 2015-06-17
1457766370 Trondi Jerry Counselor 3381 Atlanta Rd Se, Smyrna, GA 30080 2014-06-30
1093081903 Ashish Kapila Podiatrist Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 2012-03-25
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Taxonomy Information

Taxonomy Code 207ZD0900X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295386928 Podpath, Inc Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2019-09-24
1558789594 Emily Mae Erstine Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2014-04-05
1083059950 Melissa Dillard Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2013-05-06
1497089874 Wael H Milyani Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080 2009-10-01
1811041049 Dipti Anand Pathology 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 2007-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871630350 Seth Ian Rosenthal Pathology 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 2007-01-31
1780623785 Jessie Lee Pathology 175 White St Nw, Suite 370, Marietta, GA 30060-1053 2006-06-05
1295798320 Wayne L Bakotic Pathology 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 2006-04-10
1134193774 Drazen M Jukic Pathology 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 2006-02-13
1639158389 Scott M Acker Pathology 6240 Shiloh Rd Ste B, Alpharetta, GA 30005-8347 2006-01-11
1295710754 Bradley W. Bakotic Pathology 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514 2005-12-07
1093797144 Michael J Palko IIi Pathology 510 E Oglethorpe Hwy, Hinesville, GA 31313 2005-11-15
1053392191 Ling Chen Pathology 1951 Clairmont Rd, Decatur, GA 30033-3415 2005-11-07
1649270885 Jordan H. Berne Pathology 6095 Barfield Rd Ne, Suite 200, Atlanta, GA 30328-4408 2005-07-29
1588667380 Christopher J Kligora Pathology 311 W 8th St Ne, Rome, GA 30165-2723 2005-05-24
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City SMYRNA
Zip Code 30080

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Dataset Information

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.

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