DR. KENNETH LEE SISCO (NPI# 1003937111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003937111 |
| Entity Type | Individual |
| Full Name | DR. KENNETH LEE SISCO |
| Credential | M.D. |
| Practice Address |
11054 Doxberry Cir Woodstock MD 21163-1499 |
| Practice Telephone | 7326737050 |
| Practice Fax Number | 4109928185 |
| Mailing Telephone | 7326737050 |
| Mailing Fax Number | 4109928185 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D0015918 | MD | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
G56601 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11054 DOXBERRY CIR |
| City | WOODSTOCK |
| State | MD |
| Zip Code | 21163-1499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680958 | Bestcare Home Inc | In Home Supportive Care | 10617 Duthess Way, Woodstock, MD 21163 | 2018-05-24 |
| 1073973897 | Stephanie P. Bathurst | Marriage & Family Therapist | 21 Deep Powder Court, Woodstock, MD 21163 | 2016-03-07 |
| 1508201153 | American Advanced Nursing and Rehab | Physical Therapist | 10708 Croydon Ct, Woodstock, MD 21163 | 2013-05-08 |
| 1578856928 | Faithe Maria Braznell | Pharmacist | 3319 Peddicoat Court, Woodstock, MD 21163 | 2011-05-18 |
| 1497070452 | William Henry Gregory Jr. | Counselor | 9985 Village Green Drive, Woodstock, MD 21163 | 2010-04-02 |
| 1225014459 | Stephan A Bart Sr. | Family Medicine | 10403 Wetherburn Rd, Woodstock, MD 21163 | 2005-12-20 |
| 1184138737 | Best Healthcare Agency, Inc | Home Health | 3507 Timber Crest Ln, Woodstock, MD 21163-1055 | 2017-11-18 |
| 1811526742 | Domonique Parkes | Student in an Organized Health Care Education/Training Program | 17 Deep Powder Ct, Woodstock, MD 21163-1110 | 2020-04-03 |
| 1477816445 | Aroon Suansilppongse | Psychiatry & Neurology | 1 Deep Powder Ct, Woodstock, MD 21163-1110 | 2012-06-24 |
| 1154513638 | Foot Savers Inc. | Nurse Practitioner | 2815 Granite Rd, Woodstock, MD 21163-1127 | 2007-08-17 |
| Find all providers in zip 21163 | ||||
| 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 |
|---|---|---|---|---|
| 1457352304 | Rakhshan Naqvi | Pathology | Centegra Memorial Medical Center / Pahology Department, 3701 Doty Road, Woodstock, IL 60098 | 2005-08-02 |
| 1184645210 | Rosanne Fitko | Pathology | 3701 Doty Rd, Lake / Mchenry Pathology Associates, Ltd., Woodstock, IL 60098-7509 | 2006-07-22 |
| 1376535120 | Nabil O. Ali | Pathology | 3701 Doty Rd, Centegra Memorial Medical Center, Woodstock, IL 60098-7509 | 2005-08-18 |
| 1134120082 | Wendy L. Ward | Pathology | 3701 Doty Rd, Centegra Memorial Medical Center / Pathology Department, Woodstock, IL 60098-7509 | 2005-08-02 |
| 1053312918 | Adelaide Horcher | Pathology | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-08-02 |
| 1750380101 | Lake Mchenry Pathology Associates Ltd | Pathology | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902325301 | P4 Pathology P C | Pathology | 8000 Virginia Manor Rd Ste 170, Beltsville, MD 20705-4230 | 2017-09-18 |
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1730422973 | Lynette Alise Khan Parker | Pathology | 4301 Jones Bridge Rd Bldg B3102, Bethesda, MD 20814-4799 | 2013-04-05 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1164780367 | James Lyman Hall | Pathology | 11203 Neelsville Church Rd, Germantown, MD 20876-4130 | 2012-04-25 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1750647988 | Feriyl Bhaijee | Pathology | 10208 Hickory Ridge Rd, Apt. 104, Columbia, MD 21044-4686 | 2012-04-02 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1780975821 | Leroy Benjamin Buckler | Pathology | 1270 Old Madison Rd, Madison, MD 21648-1102 | 2011-04-24 |
| 1356653653 | Deepty Bhansali | Pathology | 10218 Shining Willow Dr, Rockville, MD 20850-5462 | 2010-07-02 |
| Find all providers with the same taxonomy | ||||
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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.