DR. MICHAEL BRANCACCIO (NPI# 1740262930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740262930 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRANCACCIO |
| Credential | MD |
| Practice Address |
1150 Varnum St Ne Pathology Department Washington DC 20017-2180 |
| Mailing Address |
Po Box 70688 Washington DC 20024-0688 |
| Practice Telephone | 2022697242 |
| Mailing Telephone | 4108729188 |
| Mailing Fax Number | 4108729169 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD6145 | DC | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D0019338 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
1150 VARNUM ST NE PATHOLOGY DEPARTMENT |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20017-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386648657 | Heather J Wayco | Dietitian, Registered | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2005-06-02 |
| 1508406653 | Pamela Fru Tange Oriaifo | Nurse Practitioner | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2020-01-07 |
| 1952946824 | Amarachi Angelina Nnamdi-eze | Physical Therapy Assistant | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-11-14 |
| 1598313595 | Providence Health Services, Inc | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-09-03 |
| 1861057416 | Providence Hospital | Clinic/Center | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-05-08 |
| 1861954638 | Providence Hospital | Emergency Medicine | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2019-04-02 |
| 1457837619 | Daniel Fernandez | Internal Medicine | 1150 Varnum St Ne, Washington, DC 20017 | 2018-07-11 |
| 1104311018 | Iman Fatima Musah | Anesthesiologist Assistant | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2018-06-25 |
| 1164923348 | Joy R Hudson | Social Worker | 1150 Varnum St Ne, Washington, DC 20017-2180 | 2018-02-23 |
| 1740795293 | Providence Health Services, Inc | Nurse Anesthetist, Certified Registered | 1150 Varnum St Ne, Washington, DC 20017-2104 | 2017-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215479 | Janet Achankeng Folem | Psychologist | 7100 Varnum St Ne, Suit 218, Washington, DC 20017 | 2019-09-23 |
| 1013475284 | Raphaelia Agnes Johnson-phillips | Technician | 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 | 2019-03-06 |
| 1528551413 | Harpreet Saluja | Student in an Organized Health Care Education/Training Program | 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 | 2018-06-14 |
| 1134638042 | Jane Hayashi-kim | Speech-Language Pathologist | 3910 9th St Ne, Apartment 3, Washington, DC 20017 | 2017-09-22 |
| 1346766102 | Aaliyah Gabrielle Jones | Technician | 611edgewood Ne, Washington, DC 20017 | 2017-08-14 |
| 1417479197 | Javalin Singh | Home Health Aide | Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 | 2017-07-13 |
| 1386174175 | Genevieve Wells | Home Health Aide | 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 | 2017-06-14 |
| 1487183810 | Valerie Anne Pierre | Student in an Organized Health Care Education/Training Program | 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 | 2017-06-08 |
| 1639600984 | Liliana Tatum | Counselor | 1428 Hamlin Street Ne, Washington, DC 20017 | 2017-03-27 |
| 1750835435 | Marie Hortense Mabou Sando | Home Health Aide | 1416 9th Street Nwdc, Washington, DC 20017 | 2016-08-10 |
| Find all providers in zip 20017 | ||||
| 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 |
|---|---|---|---|---|
| 1932699204 | Constance R Diangelo | Pathology | 3808 Military Rd Nw, Washington, DC 20015-2704 | 2018-05-13 |
| 1821231887 | Nemanja Rodic | Pathology | 3605 38th St Nw, Apt#303, Washington, DC 20016-2922 | 2009-04-07 |
| 1275775611 | Marilyn Angeli Baird-howell | Pathology | 2100-w Pennsylvania Avenue Nw, 5th Floor, Suite 5027, Washington, DC 20037 | 2009-03-31 |
| 1346447620 | Wen Chen | Pathology | 50 Lrving St Nw, Washington, DC 20422-0001 | 2007-06-29 |
| 1831227545 | Tan Thach Nguyen | Pathology | Wramc, Bldg 2, Dpals, 6900 Georgia Ave. Nw, Washington, DC 20307-5001 | 2007-03-02 |
| 1033269048 | Luigi Kuo Feng Rao | Pathology | 2 Walter Reed Amc Department, 6900 Georgia Avenue, Nw, Washington, DC 20307-0001 | 2007-01-11 |
| 1316032618 | David Robert Dufour | Pathology | 50 Irving St. N.w., Veterans Affairs Medical Center - 11, Washington, DC 20422 | 2006-10-03 |
| 1780794032 | Christine Ann Reyes | Pathology | 111 Michigan Ave, Children's National Medical Center; Division of Anatomi, Washington, DC 20010 | 2006-08-30 |
| 1982688727 | Raj Shekar | Pathology | 6825 16th Street Nw, Washington, DC 20306 | 2005-12-05 |
| 1831173764 | Sharda G. Sabnis | Pathology | Armed Forces Inst. of Pathology, 14th & Alaska Ave. Nw, Washington, DC 20306-0001 | 2005-12-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20017 |
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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.