DR. HENRY GRADY SKELTON III (NPI# 1053582353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053582353 |
| Entity Type | Individual |
| Full Name | DR. HENRY GRADY SKELTON III |
| Credential | MD |
| Practice Address |
1777 Montreal Cir Anatomic Pathology Tucker GA 30084-6802 |
| Practice Telephone | 6784061509 |
| Practice Fax Number | 7706217530 |
| Mailing Telephone | 6784061509 |
| Mailing Fax Number | 7706217530 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
052870 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
ME98759 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD247781 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
200400265 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
26892 | SC | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
00023737 | AL | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
0101032713 | VA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
052870 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1777 MONTREAL CIR ANATOMIC PATHOLOGY |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932166386 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2006-04-28 |
| 1356714703 | Ocmulgee Medical Pathology Association, Inc | Clinical Medical Laboratory | 1777 Montreal Cir, Ap Suite, Tucker, GA 30084-6802 | 2015-11-06 |
| 1457796716 | Brian Radlinski | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2013-05-01 |
| 1720328693 | Quest Diagnostics | Clinical Medical Laboratory | 1777 Montreal Cir, Tucker, GA 30084 | 2013-02-28 |
| 1407024342 | Diane C Farhi | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-13 |
| 1164600433 | Edward Fenton Carter IIi | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
| 1679751978 | Zlatan Oruc | Dermatology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
| 1720266414 | Bessie A Manohar | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-05 |
| 1649458654 | Anuradha Radhakrishnan | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-01 |
| 1104004019 | Luisa A Liendo | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| 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 |
|---|---|---|---|---|
| 1457796716 | Brian Radlinski | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2013-05-01 |
| 1407024342 | Diane C Farhi | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-13 |
| 1164600433 | Edward Fenton Carter IIi | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-08 |
| 1720266414 | Bessie A Manohar | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-05 |
| 1649458654 | Anuradha Radhakrishnan | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-01 |
| 1104004019 | Luisa A Liendo | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-01 |
| 1932387859 | Cheryl Green Neal | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2008-02-01 |
| 1609059476 | Hassan S Mostafavipour | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2007-12-14 |
| 1063638807 | Michael Reece Rakestraw | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2007-04-18 |
| 1275686958 | Steven H. Lin | Pathology | 1777 Montreal Cir, Tucker, GA 30084-6802 | 2007-01-18 |
| Find all providers in TUCKER | ||||
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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.