RALEIGH PATHOLOGY RESOURCES INC (NPI# 1407040827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407040827 |
| Entity Type | Organization |
| Organization Name | RALEIGH PATHOLOGY RESOURCES INC |
| Practice Address |
1710 Harper Rd Beckley WV 25801-3357 |
| Mailing Address |
39 Fox Sparrow Rd Beckley WV 25801-3687 |
| Practice Telephone | 3042564157 |
| Mailing Telephone | 3042564157 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. SUKJUNG GERALD KOH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3042564157 |
| 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 |
WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0204127000 | 05 |
| Street Address |
1710 HARPER RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316487 | Shewana C Workman | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2005-09-13 |
| 1396351151 | Jenny Lynn Williams | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2020-09-17 |
| 1588288948 | Brooklyn Paige Dillon | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-06-02 |
| 1922621572 | Erika Anne Ellis | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2020-05-18 |
| 1154969921 | Theodore Dhinagaran | Physical Therapist | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-12-12 |
| 1083250963 | Tanya Ann Maddy | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-11-26 |
| 1922667781 | Kimberly Marie Vance | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3397 | 2019-06-06 |
| 1487213245 | Cierra Brooke Treadway | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-06-06 |
| 1164987582 | Eric Andrew Fleck | Nurse Anesthetist, Certified Registered | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-11 |
| 1164987574 | Mohammed Jaweed | Nurse Practitioner | 1710 Harper Rd, Beckley, WV 25801-3357 | 2019-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1821238023 | Ameripath Consulting Pathology Services Pa | Pathology | 1710 Harper Rd, Pathology Department, Beckley, WV 25801-3357 | 2009-02-27 |
| 1255534814 | Dirk Patrick Stanley | Pathology | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2007-06-08 |
| 1154434876 | Larry J Godfrey | Pathology | 1710 Harper Rd, Beckley, WV 25801-3357 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384251 | Analyze Pathology Inc. | Pathology | 2 Bosley Ave, Parkersburg, WV 26101-7110 | 2019-12-24 |
| 1609164227 | Deidra Fawn Muto | Pathology | 219 Georgetown Pl, Charleston, WV 25314-1871 | 2011-07-17 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1912921883 | Harvey J Feld | Pathology | H Feld/qmbs/medusind (billing Inquires), 500 North Street, Bluefield, WV 24701 | 2006-07-26 |
| 1255318705 | Alan W Cashell | Pathology | 725 Yokum Street, Elkins, WV 26241-3181 | 2005-12-27 |
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1720087596 | Charleston Pathology Associates Pllc | Pathology | 333 Laidley St, Charleston, WV 25301-1614 | 2005-07-14 |
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1073519468 | Gregory J Moses | Pathology | 112 Brentwood Hts, Parkersburg, WV 26104-8503 | 2005-06-22 |
| 1568468924 | Robert J Herceg | Pathology | 705 Garfield Ave, Ste 205, Parkersburg, WV 26101-5444 | 2005-06-21 |
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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.