ETHOS PATHOLOGY, INC (NPI# 1902364664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902364664 |
| Entity Type | Organization |
| Organization Name | ETHOS PATHOLOGY, INC |
| Practice Address |
5352 Linton Blvd Delray Beach FL 33484-6514 |
| Mailing Address |
Po Box 272547 Boca Raton FL 33427-2547 |
| Practice Telephone | 5617060545 |
| Mailing Telephone | 5617060545 |
| Mailing Fax Number | 5612995750 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | DENESE BRITO (CEO/PRESIDENT) |
| Authorized Official Telephone | 5617060545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
5352 LINTON BLVD |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760734 | Craig H Thame | Radiology | 5352 Linton Blvd, Attn: Radiology Dept, Delray Beach, FL 33484-6514 | 2005-12-13 |
| 1588272975 | Ryan Michael Gore | Registered Nurse | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2020-07-21 |
| 1407483423 | Michael Edward Torres | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2020-03-27 |
| 1700420239 | Mohammed Ayyash | Nurse Practitioner | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-10-28 |
| 1356990816 | Jenna Marianna Costa | Registered Nurse | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-09-08 |
| 1821654534 | Emily Komarczyk | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-05-17 |
| 1629631148 | Sushant Tiwari | Nurse Anesthetist, Certified Registered | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-04-19 |
| 1386105138 | Phillip Azouz | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484 | 2019-03-26 |
| 1013477256 | Allegra Condiotte | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-03-22 |
| 1891253860 | Katelynn Jerrica Charles | Nurse Practitioner | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
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| 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 |
|---|---|---|---|---|
| 1861585721 | Dimitrios Michael Kalomiris | Pathology | 1300 Nw 17th Ave, Suite 130, Delray Beach, FL 33445-2578 | 2006-10-02 |
| 1790749935 | Wayne Y Cai | Pathology | 16003 Mataro Bay Ct, Delray Beach, FL 33446-9731 | 2006-04-14 |
| 1053308593 | Robert Meinaldo Aportela | Pathology | 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6543 | 2005-09-30 |
| 1952352429 | Boca Raton Outpatient Laser Center Pathology Services Inc | Pathology | 5150 Linton Blvd, Delray Beach, FL 33484-6543 | 2006-05-12 |
| 1962452128 | Albert Cohen Md Pa | Pathology | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2006-05-10 |
| 1740277128 | Albert Cohen | Pathology | 5150 Linton Blvd, Ste 250, Delray Beach, FL 33484-6543 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
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| City | DELRAY BEACH |
| Zip Code | 33484 |
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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.