AMERICAN DERMATOPATHOLOGY LABORATORY, LLC (NPI# 1669882478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669882478 |
Entity Type | Organization |
Organization Name | AMERICAN DERMATOPATHOLOGY LABORATORY, LLC |
Practice Address |
210a E Spring Valley Pike Dayton OH 45458-2653 |
Practice Telephone | 9374124230 |
Practice Fax Number | 9374820542 |
Mailing Telephone | 9374124230 |
Mailing Fax Number | 9374820542 |
Enumeration Date | 2014-05-01 |
Last Update Date | 2015-04-01 |
Authorized Official Name | HASSAN NICHOLAS SHAMMA (OWNER) |
Authorized Official Telephone | 9376024322 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
Street Address |
210A E SPRING VALLEY PIKE |
City | DAYTON |
State | OH |
Zip Code | 45458-2653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245211770 | Hassan Nicholas Shamma | Pathology | 210a E Spring Valley Pike, Dayton, OH 45458-2653 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
Find all providers in zip 45458 |
Taxonomy Code | 207ZD0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Dermatopathology |
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245211770 | Hassan Nicholas Shamma | Pathology | 210a E Spring Valley Pike, Dayton, OH 45458-2653 | 2005-11-10 |
1568495711 | Smita Krishnamurthy | Pathology | 3640 Colonel Glenn Hwy, 140 White Hall, Dayton, OH 45435-0001 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902963358 | Board Certified Dermatopathology, Inc | Pathology | 5208 Mahoning Ave, Suite 208, Youngstown, OH 44515-1858 | 2007-01-03 |
1831180827 | Shokat M Fatteh | Pathology | 8166 Market St, Suite D, Youngstown, OH 44512-6262 | 2005-10-31 |
1740664358 | Shira Ronen | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-3522 | 2015-07-13 |
1134475734 | Sri Krishna Chaitany Arudra | Pathology | 3000 Arlington Ave, Mail Stop 1068, Toledo, OH 43614-2595 | 2012-08-01 |
1366735599 | Cristina Deanne Stewart Cole | Pathology | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2011-05-20 |
1194982389 | Joshua A Weaver | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2008-05-16 |
1699942813 | Terrence Matthias Katona | Pathology | 9844 Redhill Dr, Cincinnati, OH 45242-5627 | 2008-05-15 |
1720103021 | Ailing Li | Pathology | 7730 First Pl Ste A, Oakwood Village, OH 44146-6720 | 2007-03-19 |
1578622841 | Jose A Plaza | Pathology | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-12-06 |
1336239508 | Sara B Peters | Pathology | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-10-16 |
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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.