DR. ELENA GERTSEN (NPI# 1881858876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881858876 |
| Entity Type | Individual |
| Full Name | DR. ELENA GERTSEN |
| Credential | M.D., PH.D. |
| Practice Address |
1725 W Market St Johnson City TN 37604-6020 |
| Practice Telephone | 4234311310 |
| Mailing Telephone | 4234311310 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2016-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
55622 | MN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
48798 | TN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101251153 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q003153 | 05 | |
| IA | ENROLLED | 05 | |
| TN | MEDICARE | 103I223230 | 01 |
| MN | ENROLLED | 05 |
| Street Address |
1725 W MARKET ST |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043506108 | Emily R Patterson | Pathology | 1725 W Market St, Johnson City, TN 37604-6020 | 2011-06-27 |
| 1174820971 | Watauga Pathology Associates PC | Clinical Medical Laboratory | 1725 W Market St, Johnson City, TN 37604-6020 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1275740987 | Outpatient Cytopathology Center | Pathology | 2400 Susannah St, Suite A, Johnson City, TN 37601 | 2007-05-16 |
| 1376640607 | Rowena Velilla | Pathology | 2203 Lakeland Dr, Johnson City, TN 37601-2018 | 2006-09-20 |
| 1740212224 | Muhammad S Shurbaji | Pathology | Dogwood Ave, Vamc Bldg #1, Dept. of Pathology Etsu, Johnson City, TN 37614 | 2006-07-07 |
| 1063036671 | Rashid Mahmood Qureshi | Pathology | 1276 Gilbreath Dr, Johnson City, TN 37614-6503 | 2020-05-31 |
| 1396182218 | Ali Timsar | Pathology | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2013-06-01 |
| 1982048914 | Vinita T Kukkar | Pathology | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2013-04-22 |
| 1043506108 | Emily R Patterson | Pathology | 1725 W Market St, Johnson City, TN 37604-6020 | 2011-06-27 |
| 1063707081 | Thomas M Soike | Pathology | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2011-06-17 |
| 1649583873 | Aditi C Ranade | Pathology | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2010-07-16 |
| 1922292580 | Thomas Alan Barklow | Pathology | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2007-08-28 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
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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.