AGEDI NICHOLSON BOTO (NPI# 1568729077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568729077 |
Entity Type | Individual |
Full Name | AGEDI NICHOLSON BOTO |
Credential | M.D./PH.D. |
Practice Address |
2800 Main St Bridgeport CT 06606-4201 |
Mailing Address |
20 York St New Haven CT 06510-3220 |
Practice Telephone | 4752105032 |
Practice Fax Number | 4752105034 |
Mailing Telephone | 2036882259 |
Enumeration Date | 2012-04-20 |
Last Update Date | 2019-03-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
55202 | CT | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
20 York St, Yale-new Haven Hospital, New Haven, CT 065103220 | 2036882259 |
Street Address |
2800 MAIN ST |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780678227 | Stuart Marcus | Surgery | 2800 Main St, St. Vincent's Medical Center, Bridgeport, CT 06606-4201 | 2005-09-09 |
1134733074 | Jessica Anne Mcdonald | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-08 |
1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
1083227920 | Richard Magee | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-08-29 |
1083223903 | Victoria Piacquadio | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-07-27 |
1972120509 | Svmc Holdings, Inc | Pharmacy | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-06-30 |
1083237168 | Ranji Raju | Nurse Anesthetist, Certified Registered | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-22 |
1437771698 | Michaela Anne Paduch | Physician Assistant | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-05-11 |
1376162982 | Lyndsay Hauser | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2020-04-14 |
1851938435 | Kaitlyn Mccarthy | Pharmacist | 2800 Main St, Bridgeport, CT 06606-4201 | 2019-12-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 207ZP0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
---|---|---|---|---|
1821546003 | Vincent Marchesi | Pathology | 179 Prospect Ave, Guilford, CT 06437-3100 | 2016-09-15 |
1144647769 | Mark Mattie | Pathology | 1950 Litchfield Tpke, Woodbridge, CT 06525-1200 | 2014-03-20 |
1760640650 | Jonathan S.l Earle | Pathology | 111 Founders Plz Ste 300, East Hartford, CT 06108-8307 | 2008-05-28 |
1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
1538221775 | Paul Jay Cohen | Pathology | 11 Bunker Hill Rd, Woodbridge, CT 06525-2508 | 2006-12-14 |
1700825700 | Yuhui Xu | Pathology | 200 Watson Blvd, Stratford, CT 06615-7127 | 2006-06-05 |
1295714632 | Alexander B West | Pathology | 1 Greenwich Pl, Shelton, CT 06484-4618 | 2006-01-13 |
1558351759 | Bo Xu | Pathology | 30 Shelburne Rd, Stamford, CT 06902-3628 | 2005-10-27 |
1033117841 | Raffaella Morotti | Pathology | 310 Cedar St, Pathology Department, New Haven, CT 06510-3218 | 2005-07-14 |
Find all providers with the same taxonomy |
City | BRIDGEPORT |
Zip Code | 06606 |
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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.