PHOENIX PATHOLOGY LLC (NPI# 1629187778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629187778 |
Entity Type | Organization |
Organization Name | PHOENIX PATHOLOGY LLC |
Practice Address |
One Elizabeth Place Dayton OH 45408-0000 |
Mailing Address |
P O Box 9397 Dayton OH 45409-9397 |
Practice Telephone | 9372235537 |
Practice Fax Number | 9372239979 |
Mailing Telephone | 9376434049 |
Mailing Fax Number | 9372239979 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-10-25 |
Authorized Official Name | JILL S ROSSET (PRESIDENT) |
Authorized Official Telephone | 9372235537 |
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 |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0824059 | 05 |
Street Address |
ONE ELIZABETH PLACE |
City | DAYTON |
State | OH |
Zip Code | 45408-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
1407032865 | Louisa Lucia Pecchioni | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45417 | 2008-01-16 |
1295924785 | Neurology Specialists Inc | Psychiatry & Neurology | One Elizabeth Place, Suite 210 West Medical Plaza, Dayton, OH 45408-1445 | 2007-10-19 |
1396966925 | Martha Monica Corradine | Clinic/Center | One Elizabeth Place, Dayton, OH 45408 | 2007-05-01 |
1497817092 | Montgomery County Court House | Substance Abuse Rehabilitation Facility | One Elizabeth Place, Dayton, OH 45408 | 2006-12-14 |
1508969445 | Lawrence P Goldstick | Psychiatry & Neurology | One Elizabeth Place, Suite 210 West Medical Plaza, Dayton, OH 45408 | 2006-09-06 |
1932147956 | Holly Voorhees | Anesthesiology | One Elizabeth Place, Medical Center At Elizabeth Place, Dayton, OH 45417 | 2006-06-03 |
1962477661 | Jonathan Earl Velasco | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-17 |
1831163518 | Damian Ivan Lebamoff | Surgery | One Elizabeth Place, Suite 10 A, Dayton, OH 45408 | 2006-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
1598722571 | William Klykylo | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
1538339452 | Vrajlal N Chauhan | Counselor | 1 Elizabeth Place, Ste D, Dayton, OH 45408 | 2008-03-06 |
1659566164 | Marguerite Therese Wallace | Counselor | 1 Elizabeth Place, West Pavillion First Floor Suite C, Dayton, OH 45408 | 2007-09-07 |
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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 |
---|---|---|---|---|
1437353745 | Raymond C Wong | Pathology | Division of Pathology, Childrens' Medical Center, 1 Children's Plaza, Dayton, OH 45404-1815 | 2007-06-12 |
1518950476 | Cytology Associates of Dayton, Inc. | Pathology | 11 S Main St, Dayton, OH 45402-2024 | 2005-08-25 |
1598767758 | Edward Ewing | Pathology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2005-06-01 |
1356715767 | Emily Raftopoulos | Pathology | 4100 W 3rd St, Dayton, OH 45428-9000 | 2015-11-23 |
1952716276 | Jacob Collie | Pathology | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2014-06-25 |
1699186445 | Sergei Rafael Guma | Pathology | 1 Wyoming St, Dayton, OH 45409-2722 | 2014-05-14 |
1760779300 | Hope Elizabeth Karnes | Pathology | 1 Wyoming St, Valley Pathologists, Inc., Dayton, OH 45409-2722 | 2011-07-04 |
1043509250 | Michael Benjamin Gentry | Pathology | 3535 Southern Blvd, Dayton, OH 45429 | 2011-03-29 |
1760626881 | Megan Christine Smith | Pathology | 1 Wyoming St, Dayton, OH 45409-2722 | 2009-04-21 |
1205097193 | Baojin Fu | Pathology | 1 Wyoming St, Dayton, OH 45409-2722 | 2008-06-23 |
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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.