BREVARD PATHOLOGY SERVICES PA (NPI# 1982002473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982002473 |
| Entity Type | Organization |
| Organization Name | BREVARD PATHOLOGY SERVICES PA |
| Practice Address |
1350 Hickory St Melbourne FL 32901-3224 |
| Mailing Address |
2080 S River Rd Melbourne Beach FL 32951-2928 |
| Practice Telephone | 3219534804 |
| Practice Fax Number | 3217287176 |
| Mailing Telephone | 3219534804 |
| Mailing Fax Number | 3217287176 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | DR. CHARLES CHODOROW (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3219534804 |
| Authorized Official Credential | MD |
| 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 |
1350 HICKORY ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437159670 | Igor Balatsky | Internal Medicine | 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 | 2005-07-29 |
| 1346855301 | Anushree Patel | Anesthesiologist Assistant | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-09-15 |
| 1316565492 | Megan Bellinger | Dietitian, Registered | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-07-06 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| 1487274205 | Eric Cuthbert | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2020-04-22 |
| 1366061970 | Lisa Kistler | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-14 |
| 1194344168 | Tracy Eichelberger | Respiratory Therapist, Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-04-10 |
| 1477198752 | Matthew Robert Ferraro | Pharmacist | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-11-11 |
| 1356983092 | Parvin Deidri Daneshvar | Registered Nurse | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-10-15 |
| 1972155489 | David Nester Lucas | Family Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2019-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1497963862 | Sean Arie Cote | Pathology | 27 E. Hibiscus Blvd, Melbourne, FL 32901 | 2007-05-18 |
| 1265550115 | Nasreen Qazi | Pathology | 4470 Portage Trail, Melbourne, FL 32940 | 2007-03-27 |
| 1710270095 | Brevard Pathology Pa | Pathology | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2011-05-19 |
| 1184606188 | Space Coast Pathologists Pa | Pathology | 1350 S Hickory St, Dept. of Pathology, Melbourne, FL 32901-3278 | 2005-11-16 |
| 1376525360 | Aneal S. Masih | Pathology | 1350 S Hickory St, Dept. of Pathology, Melbourne, FL 32901-3278 | 2005-11-16 |
| 1619959657 | Charles H. Chodorow | Pathology | 1350 S Hickory St, Dept. of Pathology, Melbourne, FL 32901-3278 | 2005-11-16 |
| 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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| 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.