OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC (NPI# 1467502716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467502716 |
Entity Type | Organization |
Organization Name | OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC |
Practice Address |
350 Hospital Dr Macon GA 31217-3838 |
Mailing Address |
2560 N Shadeland Ave Ste A Attn: Ann Patterson Indianapolis IN 46219-1706 |
Practice Telephone | 4787654865 |
Mailing Telephone | 3172758072 |
Mailing Fax Number | 3172758124 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2012-12-04 |
Authorized Official Name | MR. EDWARD M KRAMER (VP) |
Authorized Official Telephone | 3172758072 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | AMERIPATH INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 11D0982593 | GA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | CLIA | 11D0982593 | 01 |
GA | 591654749A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760428247 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 2275 Northwest Pkwy Se, Suite 140, Marietta, GA 30067-9321 | 2006-06-21 |
1538368501 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 2275 Northwest Pkwy Se, Suite 140, Marietta, GA 30067-9321 | 2007-07-11 |
1093787657 | Ocmulgee Medical Pathology Association Inc | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-02-07 |
Street Address |
350 HOSPITAL DR |
City | MACON |
State | GA |
Zip Code | 31217-3838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
1861091340 | Shelby Walker | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-10-26 |
1134751191 | Peach State Anesthesia Partners, LLC | Anesthesiology | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-02-07 |
1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
1306328323 | Antoinette Mariano-sabido | Physician Assistant | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-09-06 |
1790293751 | Robert Perry | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-01-11 |
1427571827 | Saleha Asghar | Hospitalist | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-07-18 |
1366977647 | Mitali Mehta | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-25 |
1720512072 | James Weaver Corley Iv | Student in an Organized Health Care Education/Training Program | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-13 |
1487001798 | Terrill Anthony Cooper | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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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.