DR. SHOKAT M FATTEH (NPI# 1831180827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831180827 |
| Entity Type | Individual |
| Full Name | DR. SHOKAT M FATTEH |
| Credential | M.D. |
| Practice Address |
8166 Market St Suite D Youngstown OH 44512-6262 |
| Mailing Address |
2840 Appaloosa Dr Hubbard OH 44425-2735 |
| Practice Telephone | 3309533242 |
| Practice Fax Number | 3309533243 |
| Mailing Telephone | 3308843803 |
| Mailing Fax Number | 3308843790 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
35-04-8777 | OH | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35048777 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0782854 | 05 | |
| OH | OHIO LICENSE NUMBER | 35-04-8777 | 01 |
| Street Address |
8166 MARKET ST SUITE D |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-6262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831315589 | Kelly Grove Nigro | Pathology | 8166 Market St, Youngstown, OH 44512-6262 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902963358 | Board Certified Dermatopathology, Inc | Pathology | 5208 Mahoning Ave, Suite 208, Youngstown, OH 44515-1858 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211770 | Hassan Nicholas Shamma | Pathology | 210a E Spring Valley Pike, Dayton, OH 45458-2653 | 2005-11-10 |
| 1740664358 | Shira Ronen | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-3522 | 2015-07-13 |
| 1134475734 | Sri Krishna Chaitany Arudra | Pathology | 3000 Arlington Ave, Mail Stop 1068, Toledo, OH 43614-2595 | 2012-08-01 |
| 1366735599 | Cristina Deanne Stewart Cole | Pathology | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2011-05-20 |
| 1194982389 | Joshua A Weaver | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2008-05-16 |
| 1699942813 | Terrence Matthias Katona | Pathology | 9844 Redhill Dr, Cincinnati, OH 45242-5627 | 2008-05-15 |
| 1720103021 | Ailing Li | Pathology | 7730 First Pl Ste A, Oakwood Village, OH 44146-6720 | 2007-03-19 |
| 1578622841 | Jose A Plaza | Pathology | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-12-06 |
| 1336239508 | Sara B Peters | Pathology | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-10-16 |
| 1568495711 | Smita Krishnamurthy | Pathology | 3640 Colonel Glenn Hwy, 140 White Hall, Dayton, OH 45435-0001 | 2006-07-09 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.