DR. JOSEPH PETER RAY PELLETIER (NPI# 1649258930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649258930 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PETER RAY PELLETIER |
| Credential | MD |
| Practice Address |
1600 Sw Archer Rd # 100275 Gainesville FL 32610-5300 |
| Mailing Address |
1600 Sw Archer Rd # 100275 Gainesville FL 32610-3003 |
| Practice Telephone | 3522738495 |
| Mailing Telephone | (352) 273-8495 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2017-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME121279 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 013029000 | 05 | |
| TX | VAD000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104927813 | Joseph Matthew Pelletier | Counselor | 927 S Walter Reed Dr, Suite 12, Arlington, VA 22204-2380 | 2006-09-26 |
| 1659769289 | Joseph Lawrence Pelletier | Counselor | 33 Main St., North Berwick, ME 03906 | 2015-01-06 |
| 1003828419 | Joseph C Pelletier | Pediatrics | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-13 |
| Street Address |
1600 SW ARCHER RD # 100275 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740620798 | Ashwin Sivappa Akki | Pathology | 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-1447 | 2013-07-03 |
| 1255628640 | Peng Li | Pathology | 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-3003 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| 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 |
|---|---|---|---|---|
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1437678950 | Thomas William Stewart Jr. | Pathology | 3138 Marthasville Court, Gainesville, GA 30506 | 2017-09-15 |
| 1396979845 | Jennifer Renea Loch | Pathology | 1600 Sw Archer Road, Depart of Pathology, Room 3113 Shands, Gainesville, FL 32610-0275 | 2009-05-13 |
| 1316028376 | Jacqueline Jaudon Russo | Pathology | 5427 Sw 75th Ter, Gainesville, FL 32608-4413 | 2006-10-18 |
| 1588744387 | Andrew Hamilton Fletcher | Pathology | 1600 Sw Archer Rd, Room 3109, Shands Healthcare - Surgical Pathology, Gainesville, FL 32610 | 2006-10-16 |
| 1487634242 | William F Hamilton | Pathology | 801 Southwest 2nd Ave, Deptartment of Pathology, Gainesville, FL 32601-6210 | 2006-01-18 |
| 1669834008 | Enoch Kuo | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610 | 2016-03-24 |
| 1649658626 | Elham Nasri | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2015-05-11 |
| 1497196604 | Namrah Aijaz | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-07-16 |
| 1740620798 | Ashwin Sivappa Akki | Pathology | 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-1447 | 2013-07-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.