DR. MARK DAVID GUSACK


Address: 1 Center St, Augusta, ME 04330-6410
Phone: 2076238411

DR. MARK DAVID GUSACK (NPI# 1912948050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912948050
Entity Type Individual
Full Name DR. MARK DAVID GUSACK
Credential M.D.
Practice Address 1 Center St
Augusta
ME 04330-6410
Mailing Address 734 Lakeview Dr
China
ME 04358-4315
Practice Telephone 2076238411
Practice Fax Number 2076217314
Mailing Telephone 2072154302
Enumeration Date 2006-06-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
162605 NY Allopathic & Osteopathic Physicians
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
016135 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 1 CENTER ST
City AUGUSTA
State ME
Zip Code 04330-6410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801991484 John Christopher Bachman Physician Assistant 1 Center St, Vamc Togus, Augusta, ME 04330 2006-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770181877 Renewal Family Center, LLC Community/Behavioral Health 10 Learners Drive, Augusta, ME 04330 2020-10-12
1134748759 Chelsea Simone Koch Registered Nurse 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 2020-04-14
1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
1043696842 Megan Arsenault Pharmacist 403 Water Street, Augusta, ME 04330 2015-08-04
1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
1831469899 Tanya Bernadette Quarterman Specialist 153 Hospital St Ste 13, Augusta, ME 04330 2012-01-09
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255957148 Thomas E Cotter Pathology 1120 15th St # Bf-103b, Augusta, GA 30912-0004 2020-06-17
1386269835 Pramila Pallikkappara Moideen Pathology Augusta University Medical Center Room Bf-103-b, Augusta, GA 30912-0001 2020-06-10
1720200306 Scott Christopher Drury Pathology 2638 Coventry Rd, Augusta, GA 30909-6106 2007-05-03
1417000100 Alvin B Bryan Jr. Pathology 1520 N Leg Rd, Augusta, GA 30909-4332 2007-01-18
1972686749 David L Booker Pathology 1462 Laney Walker Blvd, Ca-2105, Augusta, GA 30912-0003 2006-10-23
1356379127 Charles Beacham Pathology 3505 Lost Tree Ln, Augusta, GA 30907-9516 2006-06-29
1730173493 Dwight Paul Mirmow Pathology 2260 Lurightsboro Rd, Laboratory Medicine, PC, Augusta, GA 30904 2005-09-08
1861018772 Kiran Madwani Pathology 1120 15th St, Augusta, GA 30912-0004 2020-06-17
1669097770 Nivin Omar Pathology 1120 15th St, Augusta, GA 30912-0004 2020-06-15
1932724010 Ahmed Arfa Pathology 1120 15th St, Augusta, GA 30912-0004 2020-06-14
Find all providers in AUGUSTA

Competitor

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City AUGUSTA
Zip Code 04330

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Dataset Information

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.

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