PABLITO A TABANERA (NPI# 1922010420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922010420 |
| Entity Type | Individual |
| Full Name | PABLITO A TABANERA |
| Credential | M.D. |
| Practice Address |
620 Broad St Central State Hospital Milledgeville GA 31062-7525 |
| Practice Telephone | 4784454128 |
| Mailing Telephone | 4784454128 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
022062 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
620 BROAD ST CENTRAL STATE HOSPITAL |
| City | MILLEDGEVILLE |
| State | GA |
| Zip Code | 31062-7525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528486784 | Frank Nelson Ragland | Respiratory Therapist, Registered | 620 Broad St, Milledgeville, GA 31062-7525 | 2014-04-03 |
| 1821225343 | Kathleen A. Martin | Nurse Practitioner | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2009-06-11 |
| 1902030307 | Department of Behavioral Health and Developmental Disabilities | Psychiatric Hospital | 620 Broad St, Milledgeville, GA 31062-7525 | 2009-05-13 |
| 1831334515 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 620 Broad St, Central Care-yarbrough Bldg-3rd Floor, Milledgeville, GA 31062-7525 | 2008-12-09 |
| 1740462399 | Wigberto Vivas | General Practice | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-05 |
| 1770765745 | Cynthia B. Lee | Dentist | 620 Broad St, Milledgeville, GA 31062-7525 | 2007-12-03 |
| 1336350750 | Ernesto A Coligado | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-05-25 |
| 1013068030 | Charles Meyer Jr. | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1790836724 | Anita Mikita | Psychiatry & Neurology | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2007-01-16 |
| 1578679122 | Yonghua Du | General Practice | 620 Broad St, Central State Hospital, Milledgeville, GA 31062-7525 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679758429 | Mary Decruise | Psychologist | 2450 Vinson Hwy, Milledgeville, GA 31062 | 2007-12-28 |
| 1922668169 | Lufti I Yargic | Psychiatry & Neurology | Csh - Cook Building 2450 Vinson Highway, Milledgeville, GA 31062-0001 | 2019-06-19 |
| 1770047276 | Ekrem Dogan | Internal Medicine | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2019-01-29 |
| 1144703497 | Tara Walker | Nurse Practitioner | Central State Hospital 2450 Vinson Hwy, Milledgeville, GA 31062-0001 | 2018-09-12 |
| 1356586259 | Georgia Department of Human Resources | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1631 Valley Cir, Milledgeville, GA 31062-0001 | 2008-12-05 |
| 1841487667 | Georgia Department of Human Resources | General Acute Care Hospital | 2400 Vinson Hwy, Milledgeville, GA 31062-0001 | 2007-09-25 |
| 1659369866 | Clinton Wade Hodges | Pharmacist | Csh Pharmaceutical Services, Lawrence Rd., Milledgeville, GA 31062-0001 | 2005-10-11 |
| 1922621184 | Uzma Beg | Psychiatry & Neurology | 2450 Vinson Highway Cook Building, Milledgeville, GA 31062-0001 | 2020-05-22 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1235527144 | Loukisha Monique Roberts | Registered Nurse | 2450 Vinson Highway, Milledgeville, GA 31062-5641 | 2014-12-30 |
| Find all providers in zip 31062 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881037091 | Jennifer Porter Bynum | Pathology | 3300 Buckeye Rd Ste 178, Atlanta, GA 30341-4232 | 2013-04-08 |
| 1932167202 | David L. Jaye | Pathology | 615 Michael St Ne, Room 105-b, Atlanta, GA 30322-1047 | 2006-05-03 |
| 1912246307 | Ahmed Assim Aljudi | Pathology | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2013-02-05 |
| 1952620668 | Deniz Peker | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1932 | 2010-05-19 |
| 1306012554 | Bill G Richendollar | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2008-05-07 |
| 1497930010 | Katherine Louise Chandler | Pathology | 1968 Peachtree Rd Nw, 77 Building, 4th Floor, Atlanta, GA 30309-1281 | 2008-01-02 |
| 1508088097 | Keni Gu | Pathology | 1350 Walton Way, Augusta, GA 30901-2612 | 2007-05-03 |
| 1578637542 | Timothy L Mcintire | Pathology | 3011 Hampton Ave, Suite 200, Brunswick, GA 31520-4264 | 2006-11-20 |
| 1891702072 | Douglas G Hoffmann | Pathology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-08-01 |
| 1548211501 | Marla Franks | Pathology | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | MILLEDGEVILLE |
| Zip Code | 31062 |
Please comment or provide details below to improve the information on PABLITO A TABANERA.
| 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.