PATHOLOGY SERVICES OF SOUTHWESTERN MICHIGAN, PC (NPI# 1427031483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427031483 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY SERVICES OF SOUTHWESTERN MICHIGAN, PC |
| Practice Address |
555 Linn St Allegan MI 49010-1524 |
| Mailing Address |
Po Box 105 Grand Rapids MI 49501-0105 |
| Practice Telephone | 2696738424 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY P. PEARSON (PRESIDENT) |
| Authorized Official Telephone | 2696738424 |
| Authorized Official Credential | M.D. |
| 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 |
555 LINN ST |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316188 | Melissa May Rogers | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2020-04-28 |
| 1396394417 | Kevin Maynard Cooper | Nurse Practitioner | 555 Linn St, Allegan, MI 49010-1524 | 2019-09-11 |
| 1265943898 | Julia Ann Jenkins | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2017-10-23 |
| 1649510645 | Nicole Arney | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2013-02-27 |
| 1003156803 | Lisa M Kerekes | Dietitian, Registered | 555 Linn St, Allegan, MI 49010-1524 | 2013-02-15 |
| 1457698813 | Tyler Wilhelm | Nurse Anesthetist, Certified Registered | 555 Linn St, Anesthesia Dept., Allegan, MI 49010-1524 | 2013-01-05 |
| 1932364700 | Ascension Allegan Hospital | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2008-07-22 |
| 1225258882 | Ascension Allegan Hospital | Psychiatric Unit | 555 Linn St, Allegan, MI 49010-1524 | 2007-04-26 |
| 1225256506 | Wanetta J Czarnecki | Nutritionist | 555 Linn St, Allegan, MI 49010-1524 | 2007-04-23 |
| 1225153836 | Timothy V. Fuller | Nurse Anesthetist, Certified Registered | 555 Linn St, Allegan, MI 49010-1524 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| 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 |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
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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.