TOMISLAV M. JELIC (NPI# 1609802511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609802511 |
| Entity Type | Individual |
| Full Name | TOMISLAV M. JELIC |
| Credential | MD |
| Practice Address |
3200 Maccorkle Avenue Se Pathology Department Charleston WV 25304 |
| Mailing Address |
415 Morris Street Suite 304 Charleston WV 25301 |
| Practice Telephone | 3043885550 |
| Practice Fax Number | 3043884352 |
| Mailing Telephone | 3043887782 |
| Mailing Fax Number | 3043887788 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
17984 | WV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053796342 | Tomislav Jelic | Emergency Medicine | One Davis Blvd, Suite 503, Tampa, FL 33606 | 2015-07-28 |
| Street Address |
3200 MACCORKLE AVENUE SE PATHOLOGY DEPARTMENT |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839800 | Darlene Y. Gruetter | Specialist | 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 | 2005-05-27 |
| 1487215786 | Asra Tanwir | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, Robert C. Bird Clinical Training Centre 4th Floor, Charleston, WV 25304 | 2019-06-26 |
| 1053874883 | Ramandeep Kaur Bolla | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, 5th Floor Robert C. Byrd Clinical Teaching Center, Charleston, WV 25304 | 2019-04-09 |
| 1992237283 | Autumn Lanoye | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, Robert C. Bird Clinical Training Center, 4th Floor, Charleston, WV 25304 | 2017-03-28 |
| 1518397975 | Sneha N Raghunath | Hospitalist | 3200 Maccorkle Avenue Se, Suite B16, Charleston, WV 25304 | 2013-11-22 |
| 1306079579 | Sanjoy K. Nath | Internal Medicine | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2009-09-03 |
| 1427203504 | Melinda J. Stanley | Nurse Practitioner | 3200 Maccorkle Avenue Se, Hospitalists Program, Charleston, WV 25304 | 2008-11-17 |
| 1487818167 | Amir R. Khorshad | Physician Assistant | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2008-07-11 |
| 1386803120 | Trevor L. Miller | Physician Assistant | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2008-06-06 |
| 1801007224 | Noma Y. Khan | Internal Medicine | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| 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 |
|---|---|---|---|---|
| 1851787162 | Jaime Singh | Pathology | 171 Ashley Ave # Msc908, Charleston, SC 29425-5051 | 2015-04-13 |
| 1902252240 | Ashish Kurundkar | Pathology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-05-05 |
| 1003105685 | Angelina Indira Phillips | Pathology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-04-04 |
| 1073660874 | Jason Barnes | Pathology | 171 Ashley Ave, Charleston, SC 29425-0100 | 2007-01-04 |
| 1538230834 | Jack Yang | Pathology | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-11-10 |
| 1265456230 | Russell Harley | Pathology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-26 |
| 1831113760 | Michael Smith | Pathology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-26 |
| 1194749028 | Cynthia Welsh | Pathology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-26 |
| 1306860374 | Kimberly Collins | Pathology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-26 |
| 1255355178 | John Metcalf | Pathology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-07-26 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.