MARIANTONIETA TIRADO GONZALEZ (NPI# 1396025060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396025060 |
| Entity Type | Individual |
| Full Name | MARIANTONIETA TIRADO GONZALEZ |
| Credential | M.D. |
| Practice Address |
930 Madison Ave Ste 890 Memphis TN 38103-3413 |
| Mailing Address |
1407 Union Ave Ste 700 Memphis TN 38104-3641 |
| Practice Telephone | 9018668834 |
| Mailing Telephone | 9018668003 |
| Mailing Fax Number | 9013022003 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
2019025553 | MO | Allopathic & Osteopathic Physicians |
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
60822 | TN | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
2019025553 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2326 Millpark Dr, Maryland Heights, MO 630433530 | 3149914313 |
| Street Address |
930 MADISON AVE STE 890 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343623 | Utmg Dermatopathology, LLC | Clinical Medical Laboratory | 930 Madison Ave Ste 890, Memphis, TN 38103-3413 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083853006 | Radoslaw Filip Bieniek | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2009-02-14 |
| 1245454149 | Barry James White | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598951303 | Neil Matthew Coleman | Pathology | 139 Fox Rd Ste 204, Knoxville, TN 37922-3472 | 2007-09-15 |
| 1225036858 | Roy King | Pathology | 139 Fox Rd, Ste 204, Knoxville, TN 37922-3472 | 2005-07-08 |
| 1619974573 | Paul B Googe Md, PC | Pathology | 315 Erin Dr, Knoxville, TN 37919-6202 | 2005-07-06 |
| 1528330644 | Dermatopathology Partners PC | Pathology | 139 Fox Rd Ste 204, Knoxville, TN 37922-3472 | 2012-02-05 |
| 1457649139 | Olena Dorokhova | Pathology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2011-07-15 |
| 1982903753 | Silvia Daniela Potenziani Pradella | Pathology | 2000 Church St, Nashville, TN 37236-4400 | 2011-03-19 |
| 1275854333 | Larissa Ann Chismar | Pathology | 5301 Virginia Way Ste 300, Brentwood, TN 37027-7542 | 2010-06-11 |
| 1154647188 | Colt Mcclain | Pathology | 4220 Harding Pike, Nashville, TN 37205-2005 | 2010-04-15 |
| 1548440985 | Amy Carol Parsons | Pathology | 1010 Airpark Center Dr, Nashville, TN 37217-5200 | 2007-11-13 |
| 1194789271 | Paul B Googe | Pathology | 315 Erin Dr, Knoxville, TN 37919-6202 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
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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.