DR. GOPAL M PARDASANI (NPI# 1861484560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861484560 |
| Entity Type | Individual |
| Full Name | DR. GOPAL M PARDASANI |
| Credential | MD |
| Practice Address |
122 12th Street Ext Princeton WV 24740-2352 |
| Mailing Address |
Po Box 489 Bluefield WV 24701-0489 |
| Practice Telephone | 3044877349 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
10565 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0102388000 | 05 |
| Street Address |
122 12TH STREET EXT |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1104286913 | Jessica Moses | Speech-Language Pathologist | 122 12th Street Ext, Princeton, WV 24740-2352 | 2016-03-07 |
| 1669851200 | Darrell W Shrewsbury | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2015-05-28 |
| 1922365089 | Ges Hospitalist Services Inc | Family Medicine | 122 12th Street Ext, Princeton, WV 24740-2352 | 2012-04-13 |
| 1972891265 | Misty Dillow | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2011-07-20 |
| 1558594598 | Heather Leigh Harris | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2009-08-25 |
| 1598921884 | Margaret L Choate | Nurse Practitioner | 122 12th Street Ext, Princeton, WV 24740-2352 | 2008-08-06 |
| 1992971253 | Melissa Dawn Lilly | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2008-05-06 |
| 1235311044 | Princeton Community Hospital Association, Inc. | Psychiatric Unit | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-12-04 |
| 1447458609 | Brandon L Fain | Physician Assistant | 122 12th Street Ext, Princeton, WV 24740-2352 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| 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 |
|---|---|---|---|---|
| 1972781185 | Michal Gerwel | Pathology | 497 Sayre Dr, Princeton, NJ 08540-5855 | 2008-02-11 |
| 1326049586 | Thomas Charles Martin Jr. | Pathology | 122 12th St, Princeton, WV 24740-2312 | 2005-08-09 |
| 1215936091 | Carlos Fernandez Delara | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-07-14 |
| 1861571135 | Pathology Associates of Princeton | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-11-06 |
| 1386755809 | Jason Andrew Bennett | Pathology | 122 12th St, Princeton, WV 24740 | 2006-08-31 |
| 1720003833 | Craig E Vanuitert | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-07-12 |
| 1194753616 | Elliot Aryeh Krauss | Pathology | 253 Witherspoon St, Princeton, NJ 08540-3211 | 2006-06-30 |
| 1558353250 | Biomedical Services Inc | Pathology | 122 12th Street Ext, Princeton, WV 24740-2352 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384251 | Analyze Pathology Inc. | Pathology | 2 Bosley Ave, Parkersburg, WV 26101-7110 | 2019-12-24 |
| 1609164227 | Deidra Fawn Muto | Pathology | 219 Georgetown Pl, Charleston, WV 25314-1871 | 2011-07-17 |
| 1881815389 | Philip Sumner Grove | Pathology | 300 S Preston Street, Ranson, WV 25438 | 2007-05-01 |
| 1912921883 | Harvey J Feld | Pathology | H Feld/qmbs/medusind (billing Inquires), 500 North Street, Bluefield, WV 24701 | 2006-07-26 |
| 1255318705 | Alan W Cashell | Pathology | 725 Yokum Street, Elkins, WV 26241-3181 | 2005-12-27 |
| 1720087596 | Charleston Pathology Associates Pllc | Pathology | 333 Laidley St, Charleston, WV 25301-1614 | 2005-07-14 |
| 1073519468 | Gregory J Moses | Pathology | 112 Brentwood Hts, Parkersburg, WV 26104-8503 | 2005-06-22 |
| 1568468924 | Robert J Herceg | Pathology | 705 Garfield Ave, Ste 205, Parkersburg, WV 26101-5444 | 2005-06-21 |
| 1144224775 | University Physicians & Surgeons, Inc. | Pathology | 1001 10th Ave, Huntington, WV 25701-3316 | 2005-06-10 |
| 1124022462 | Stephen Patrick Poolos | Pathology | 500 Cherry St, Bluefield, WV 24701-3306 | 2005-06-01 |
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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.