BAYSHORE PATHOLOGY CONSULTANTS PA (NPI# 1700217460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700217460 |
| Entity Type | Organization |
| Organization Name | BAYSHORE PATHOLOGY CONSULTANTS PA |
| Practice Address |
18308 Murdock Cir Ste 105 Port Charlotte FL 33948-1025 |
| Practice Telephone | 9412065200 |
| Practice Fax Number | 9412066418 |
| Mailing Telephone | 9412065200 |
| Mailing Fax Number | 9412066418 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | DR. JOHN A ROSS (OWNER) |
| Authorized Official Telephone | 9412065200 |
| 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 |
ME70208 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
18308 MURDOCK CIR STE 105 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332387 | David M Kanuck | Podiatrist | 18308 Murdock Cir, Ste 102, Port Charlotte, FL 33948-1025 | 2006-01-30 |
| 1417360918 | 21st Century Oncology LLC | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2014-06-03 |
| 1467889667 | Genesiscare Usa of Florida LLC | Surgery | 18308 Murdock Cir, Suite 105, Port Charlotte, FL 33948-1025 | 2013-10-02 |
| 1689011488 | Ultimate Wellness Rehab LLC | Physical Therapy Assistant | 18308 Murdock Cir, Ste 107, Port Charlotte, FL 33948-1025 | 2013-06-03 |
| 1033441001 | Alejandro J. Gruneiro M.d. P.a. | Specialist | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2010-02-02 |
| 1427138239 | Karen Cagen Zusman | Occupational Therapist | 18308 Murdock Cir, Port Charlotte, FL 33948-1025 | 2006-10-16 |
| 1114962248 | Steven Bradley Goldin | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-06-20 |
| 1407819295 | Matthew R. Bagan | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-04-11 |
| 1588633549 | Alejandro J. Gruneiro | Surgery | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1043282049 | Fernando Luis Lomba | Pathology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2006-02-03 |
| 1235119124 | Jose Augusto Ross | Pathology | 18316 Murdock Cir, Suite 106, Port Charlotte, FL 33948-1029 | 2006-01-18 |
| 1093057655 | Accurate Pathology Services Md Pl | Pathology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2013-03-21 |
| 1295764967 | Lomba Md Pa | Pathology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2006-07-03 |
| 1538131206 | Andres E Angel | Pathology | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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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.