BAYLESS PATHMARK INC (NPI# 1770772659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770772659 |
| Entity Type | Organization |
| Organization Name | BAYLESS PATHMARK INC |
| Practice Address |
6780 Mayfield Rd Cleveland OH 44124 |
| Mailing Address |
19250 Bagley Rd Ste 101 Middleburg Heights OH 44130-3348 |
| Practice Telephone | 4408260384 |
| Practice Fax Number | 4408261910 |
| Mailing Telephone | 4408260384 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2019-01-30 |
| Authorized Official Name | DR. YILAN CHANG (PRESIDENT) |
| Authorized Official Telephone | 4408260384 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYLESS PATHMARK INC |
| 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 | 0850128 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205025186 | Bayless Pathmark Inc | Pathology | 19250 E Bagley Rd, Middleburg Hts, OH 44130 | 2007-10-17 |
| 1669661542 | Bayless Pathmark Inc | Pathology | 4180 Warrensville Ctr Rd, Warrensville Hts, OH 44122 | 2007-10-17 |
| 1720046865 | Bayless Pathmark Inc | Pathology | 19250 Bagley Rd Ste 101, Middleburg Heights, OH 44130-3348 | 2006-05-01 |
| 1205242641 | Bayless Pathmark Inc | Pathology | 1400 W Main St, Bellevue, OH 44811-9088 | 2014-07-07 |
| 1629267232 | Bayless Pathmark Inc | Pathology | Southwest General Health Center, 18697 Bagley Road, Laboratory Services, Cleveland, OH 44130 | 2007-10-19 |
| 1356530968 | Bayless Pathmark Inc | Pathology | 200 E State St, Alliance, OH 44601-4936 | 2007-10-19 |
| 1235328121 | Bayless Pathmark Inc | Pathology | 18901 Lakeshore Blvd, Euclid, OH 44119 | 2007-10-17 |
| 1104015098 | Bayless Pathmark Inc | Pathology | 272 Benedict Ave, Norwalk, OH 44857 | 2007-10-17 |
| 1538358437 | Bayless Pathmark Inc | Pathology | 13951 Terrace Rd, Cleveland, OH 44119 | 2007-10-17 |
| Street Address |
6780 MAYFIELD RD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676457 | Aimee Elizabeth Sisinger | Nurse Practitioner | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2020-10-14 |
| 1710594452 | Jessica Amanda Cutler | Nurse Practitioner | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2020-09-27 |
| 1851903421 | Kyle Richnavsky | Surgery | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2020-08-17 |
| 1922635937 | Diana Marie Duganitz | Occupational Therapist | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2020-03-27 |
| 1598392516 | Tyler Douglas Bilinovic | Occupational Therapist | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2020-03-27 |
| 1932743283 | Leanne Ruth Alexander | Family Medicine | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2019-10-30 |
| 1114404688 | Aleksander Joseph Thomas | Anesthesiologist Assistant | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2018-07-26 |
| 1053869669 | Stephanie Emmett | Registered Nurse | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2016-09-13 |
| 1972057511 | Nicolina Vencl | Nurse Anesthetist, Certified Registered | 6780 Mayfield Rd, Cleveland, OH 44124-2203 | 2016-08-11 |
| 1376962522 | Allison Lynn Early | Internal Medicine | 6780 Mayfield Rd, Cleveland, OH 44124 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| 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 |
|---|---|---|---|---|
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1013204650 | Ana Lucia Ruano Mendez | Pathology | 9500 Euclid Ave # L25, Cleveland, OH 44195-0001 | 2011-07-04 |
| 1164561007 | Indira Pillay | Pathology | 1730 W 25 Street, Cleveland, OH 44113 | 2007-02-06 |
| 1851386163 | Anthony Simonetti | Pathology | 9500 Euclid Ave #406, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2005-09-13 |
| 1427608314 | Daniel Lee Shen | Pathology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-09-12 |
| 1326609231 | Narendra Bhattarai | Pathology | Cleveland Clinic 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2019-06-23 |
| 1952962946 | Mrinal Sarwate | Pathology | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2019-06-21 |
| 1770069668 | Frido Karl Ludwig Bruehl | Pathology | Cleveland Clinic 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2018-07-14 |
| 1962996496 | Emad Ibrahim Ababneh | Pathology | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2018-06-18 |
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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.