SOUTH SUBURBAN PATHOLOGISTS PC (NPI# 1720016801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720016801 |
| Entity Type | Organization |
| Organization Name | SOUTH SUBURBAN PATHOLOGISTS PC |
| Practice Address |
141 Milstead Ave Ne Conyers GA 30012 |
| Mailing Address |
1412 Milstead Ave Ne Conyers GA 30012-3877 |
| Practice Telephone | 6784231550 |
| Practice Fax Number | 6784231550 |
| Mailing Telephone | 6784231550 |
| Mailing Fax Number | 6784231550 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | DR. ZOYA K ARBISER (PRESIDENT) |
| Authorized Official Telephone | 7709918615 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| GA | 300026912B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Upper Riverdale Rd Sw, Attn: Pathology, Riverdale, GA 302742615 | 7709918615 | 7709918689 |
| Street Address |
141 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1760793673 | Andrew Erling Johnsen | Pathology | 3248 Avalon Pkwy, Conyers, GA 30013-6320 | 2010-06-24 |
| 1184868952 | Paulie Papavassiliou-bajic | Pathology | 1412 Milstead Avenue, N.e., Department of Pathology, Conyers, GA 30012 | 2009-04-23 |
| 1205010790 | Mary Diane Kinsella | Pathology | 1412 Milstead Ave Ne Dept Of, Conyers, GA 30012 | 2007-12-20 |
| 1962418400 | Jackson L Gates | Pathology | 1880 Lancaster Drive, Conyers, GA 30013-6433 | 2006-08-01 |
| 1518936228 | Charles William Andrews Jr. | Pathology | 3248 Avalon Blvd, Conyers, GA 30013-6320 | 2006-03-15 |
| 1295085686 | Aaron J Leifer | Pathology | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2012-09-13 |
| 1659547388 | Rockdale Pathology, PC | Pathology | 3248 Avalon Blvd, Conyers, GA 30013 | 2008-05-02 |
| 1326224791 | Gihun Lim | Pathology | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2008-01-16 |
| 1235108440 | Milstead Pathology, PC | Pathology | 3248 Avalon Blvd, Conyers, GA 30013-6320 | 2006-03-17 |
| 1306815030 | Aileen P O'neill | Pathology | 3248 Avalon Blvd, Conyers, GA 30013-6320 | 2006-03-15 |
| Find all providers in CONYERS | ||||
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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.