DATTATREYA M PHADKE (NPI# 1871530477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871530477 |
| Entity Type | Individual |
| Full Name | DATTATREYA M PHADKE |
| Credential | MD |
| Practice Address |
801 Ostrum St Bethlehem PA 18015-1000 |
| Practice Telephone | 4845264558 |
| Practice Fax Number | 4845264592 |
| Mailing Telephone | 4845264558 |
| Mailing Fax Number | 4845264592 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2014-02-12 |
| 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 |
MD450758 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301073753 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
801 OSTRUM ST |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18015-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809288 | Steven T. Puccio | Orthopaedic Surgery | 801 Ostrum St, Pphp2, Bethlehem, PA 18015-1000 | 2005-05-31 |
| 1356942635 | Christopher Vila | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-11-04 |
| 1114527801 | Alexandria Lynn Strouse | Registered Nurse | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-30 |
| 1174123079 | Kelli Lynn Martin | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1457951345 | Christopher Bauer | Nurse Practitioner | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-29 |
| 1750989745 | Amber Nicole Saylor | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-13 |
| 1427656586 | Sarah Anne Blum | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1972101061 | Stephen Druckenmiller | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-12 |
| 1780281014 | Ryan Anthony Mathiesen | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-10-09 |
| 1376169573 | Sean Wesley Hamlin | Surgery | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| 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 |
|---|---|---|---|---|
| 1811190838 | Haider Asad | Pathology | 2545 Schoenersville Rd Fl 1, Bethlehem, PA 18017-7300 | 2007-06-07 |
| 1164860391 | St. Luke's Physician Group, Inc. | Pathology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2013-06-10 |
| 1972863918 | Kimberly Anne Jaramillo | Pathology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2012-05-24 |
| 1336339159 | Michael J Sherman | Pathology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2007-07-27 |
| 1275618472 | Santo Longo | Pathology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-10-26 |
| 1356421564 | Elizabeth Ann Dellers | Pathology | 2545 Schoenersville Rd, Dept. of Pathology Lehigh Valley Hospital Muhlenberg, Bethlehem, PA 18017-7300 | 2006-10-16 |
| 1235153776 | St. Luke's Hospital | Pathology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889690 | Alisa Rene Nobee | Pathology | 433 Seneca St, Essington, PA 19029-1608 | 2020-10-21 |
| 1861049637 | Partners In Specialty Pathology PC | Pathology | 2301 Harrisburg Pike Ste 201, Lancaster, PA 17601-2415 | 2019-08-26 |
| 1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
| 1750944526 | Silverpath, Inc. | Pathology | 512 E. Township Line Road, Suite 135, Tower 4, Blue Bell, PA 19422-2700 | 2019-04-17 |
| 1396224838 | Jacob Smith | Pathology | A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 | 2018-08-07 |
| 1588142889 | Daniel Francis Marker | Pathology | 3550 Terrace Street A711 Scaife Hall Pathology Office, Pittsburgh, PA 15262-0001 | 2018-07-30 |
| 1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
| 1316423379 | John Michael Skaugen | Pathology | 3550 Terrace St # A615, Pittsburgh, PA 15213-2500 | 2018-07-12 |
| 1497249692 | Jalil Nasibli | Pathology | 5435 Claybourne St Apt 806, Pittsburgh, PA 15232-1639 | 2018-06-20 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
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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.