PHOENIX PATHOLOGY LLC


Address: One Elizabeth Place, Dayton, OH 45408-0000
Phone: 9372235537

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0824059 05

Office Location

Street Address ONE ELIZABETH PLACE
City DAYTON
State OH
Zip Code 45408-0000

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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Competitor

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City DAYTON
Zip Code 45408

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Dataset Information

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.

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