BAKOTIC PATHOLOGY ASSOCIATES, LLC (NPI# 1396243630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396243630 |
| Entity Type | Organization |
| Organization Name | BAKOTIC PATHOLOGY ASSOCIATES, LLC |
| Other Organization Name | CUTIS DIAGNOSTICS |
| Practice Address |
6240 Shiloh Rd Alpharetta GA 30005-8347 |
| Practice Telephone | 8552452256 |
| Practice Fax Number | 7702929331 |
| Mailing Telephone | 8552452256 |
| Mailing Fax Number | 7702929331 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | SCOTT BAKOTIC (CFO) |
| Authorized Official Telephone | 6789652822 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAKOTIC PATHOLOGY ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CUTIS DIAGNOSTICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184814014 | Bakotic Pathology Associates, LLC | Clinical Medical Laboratory | 6240 Shiloh Road, Alpharetta, GA 30005 | 2007-07-26 |
| 1275858524 | Bakotic Pathology Associates, LLC | Pathology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2010-03-30 |
| Street Address |
6240 SHILOH RD |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-8347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659306793 | Andrea L Volk | Pathology | 6240 Shiloh Rd, Alpharetta, GA 30005 | 2006-07-11 |
| 1851754600 | Margaret Renee Acker | General Practice | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2016-03-30 |
| 1275858524 | Bakotic Pathology Associates, LLC | Pathology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2010-03-30 |
| 1700900263 | Eli J Piatigorsky | Dermatology | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
| 1295386928 | Podpath, Inc | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.