DR. DIANA A DIMITROV (NPI# 1023349206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023349206 |
| Entity Type | Individual |
| Full Name | DR. DIANA A DIMITROV |
| Credential | M.D. |
| Practice Address |
1226 E Water St Syracuse NY 13210-1155 |
| Mailing Address |
100 Metropolitan Park Dr Ste 100 Liverpool NY 13088-7112 |
| Practice Telephone | 3154784185 |
| Mailing Telephone | 3158709370 |
| Mailing Fax Number | 3158709364 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
91773 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1226 E WATER ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868936 | Yijun Yang | Pathology | 1226 E Water St, Syracuse, NY 13210-1155 | 2005-08-15 |
| 1699303065 | Jacob Becher | Physician Assistant | 1226 E Water St, Syracuse, NY 13210-1155 | 2020-03-31 |
| 1962054106 | Melissa Lynn Rogers | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2019-07-09 |
| 1437637881 | Gaetane Bellamy | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2018-07-29 |
| 1518489160 | Morgan Brittany Rowe | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2017-07-14 |
| 1285018085 | Erin Sanderson | Physician Assistant | 1226 E Water St, Syracuse, NY 13210-1155 | 2015-07-13 |
| 1992104533 | Sarah Naomi Cote | Nurse Practitioner | 1226 E Water St, Syracuse, NY 13210-1155 | 2014-08-20 |
| 1962820977 | Ilija Aleksic | Urology | 1226 E Water St, Syracuse, NY 13210 | 2014-04-07 |
| 1265791511 | Hadley Whissel Narins | Urology | 1226 E Water St, Syracuse, NY 13210-1155 | 2012-05-08 |
| 1912157454 | Brian Thomas Pavlovitz | Pathology | 1226 E Water St, Syracuse, NY 13210-1155 | 2008-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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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 |
|---|---|---|---|---|
| 1871940957 | Kristyn Galbraith | Pathology | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-05-19 |
| 1447670658 | Daniel Zaccarini | Pathology | 750 E Adams St, Syracuse, NY 13210-2306 | 2014-04-27 |
| 1164781407 | Yan Hu | Pathology | 301 Prospect Ave, Dept of Pathology, St. Joseph's Hospital Health Center, Syracuse, NY 13203-1807 | 2012-05-07 |
| 1588920169 | Geoffrey M Mikita | Pathology | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2012-04-08 |
| 1871885301 | Ramona Vesna Untanu | Pathology | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-05-03 |
| 1013142082 | Christopher Michael Curtiss | Pathology | 750 E Adams St, Syracuse, NY 13210-2342 | 2009-05-20 |
| 1275767774 | Elizabeth A. Ruckdeschel | Pathology | 750 E. Adams Street, Department of Pathology, Syracuse, NY 13210-2306 | 2009-05-12 |
| 1801049135 | Brando Cobanov | Pathology | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2008-10-30 |
| 1043469406 | Matthew Brian Elkins | Pathology | 750 E. Adams Street, Syracuse, NY 13210 | 2008-09-10 |
| 1174786685 | Vivian Arguello Guerra | Pathology | 750 E Adams St, Department of Clinical Pathology, 3rd Floor, Syracuse, NY 13210-2342 | 2008-07-03 |
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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.