MASSILLON PATHOLOGISTS, INC (NPI# 1750341160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750341160 |
| Entity Type | Organization |
| Organization Name | MASSILLON PATHOLOGISTS, INC |
| Practice Address |
875 8th St Ne Massillon OH 44646-8503 |
| Mailing Address |
5620 Southwyck Blvd Toledo OH 43614-1501 |
| Practice Telephone | 3308328761 |
| Mailing Telephone | 3308328761 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-10-19 |
| Authorized Official Name | DR. J GREGORY FECZKO (PRESIDENT) |
| Authorized Official Telephone | 3308328761 |
| Authorized Official Credential | DO |
| 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 |
|---|---|---|---|
| OH | 2474308 | 05 |
| Street Address |
875 8TH ST NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306834809 | David Jacob Heath | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646-8503 | 2005-10-10 |
| 1912489436 | Massillon Regional Medical Center | Emergency Medicine | 875 8th St Ne, Massillon, OH 44646 | 2018-08-31 |
| 1780101360 | Jeremy Alfani | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-08-24 |
| 1366979007 | Jordan Grilliot | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-12 |
| 1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
| 1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1730638032 | Britton Hostetler | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-09-27 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1831647973 | Casey A Fisher | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Anesthesia Department, Massillon, OH 44646-8503 | 2016-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
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| 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 |
|---|---|---|---|---|
| 1871553271 | J Gregory Feczko | Pathology | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-03-28 |
| 1043221336 | Paragon Pathology | Pathology | 400 Austin Ave Nw, Massillon, OH 44646-3554 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740968 | Dorothy Jean Schirf | Pathology | 6057 Grand Strand Ave, Westerville, OH 43081-8082 | 2019-03-22 |
| 1073048872 | Minqian Shen | Pathology | 616 S College Ave, Apt 106, Oxford, OH 45056-2280 | 2017-04-29 |
| 1740735653 | Shamim Shamsi | Pathology | 1762 Deerbrook Trl, Beavercreek, OH 45434-6666 | 2016-08-20 |
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1326426503 | Gerald Penn Md Inc | Pathology | 2800 Squires Rdg, Columbus, OH 43220-6201 | 2015-05-08 |
| 1699186684 | Jenna Purdy | Pathology | 234 Goodman St Rm 110, Cincinnati, OH 45219-2364 | 2014-05-13 |
| 1548604051 | Inform Diagnostics, Inc | Pathology | 9978 Washington St, Camp Dennison, OH 45111-9717 | 2013-04-26 |
| 1730421124 | Eric William Willis | Pathology | 3805 N High St Ste 302, Columbus, OH 43214-3539 | 2013-03-23 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1386993459 | William Alexander Graham Jr. | Pathology | 8473 County Home Rd, Lisbon, OH 44432-9418 | 2012-09-05 |
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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.