DR. STACEY MARDEKIAN GARGANO


Address: 132 S 10th St Ste 285k, Philadelphia, PA 19107-5244
Phone: 2155035642

DR. STACEY MARDEKIAN GARGANO (NPI# 1073879656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073879656
Entity Type Individual
Full Name DR. STACEY MARDEKIAN GARGANO
Credential M.D.
Practice Address 132 S 10th St Ste 285k
Philadelphia
PA 19107-5244
Practice Telephone 2155035642
Practice Fax Number 2155034817
Mailing Telephone 2155035642
Mailing Fax Number 2155034817
Enumeration Date 2012-04-08
Last Update Date 2019-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0101X Pathology
Specialization: Anatomic Pathology
MD456407 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 132 S 10TH ST STE 285K
City PHILADELPHIA
State PA
Zip Code 19107-5244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104269489 Nneamaka Nwaoduah Pathology 132 S 10th St Ste 285k, Philadelphia, PA 19107-5244 2013-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 207ZP0101X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology

Taxonomy Definition

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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 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 (note: this taxonomy code identifies the "anatomic pathology only" route). 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750891362 Peter Michael Jucovy Pathology 7414 Crittenden St, Philadelphia, PA 19119-1015 2017-10-09
1427478205 Manju Ambelil Pathology 132 S 10th St # 285k, Philadelphia, PA 19107-5244 2014-04-21
1235570615 Abul Ala Syed Rifat Mannan Pathology 801 Spruce St Fl 10, Philadelphia, PA 19107 2013-07-12
1780914937 Kristina E Antoniades Pathology 260 St. Joseph's Way, Philadelphia, PA 19106 2010-01-12
1659512044 Archibald Clinton Hewes Pathology 256 S Van Pelt St, Philadelphia, PA 19103-4813 2009-03-13
1972086650 Temple Faculty Practice Plan, Inc Pathology 3401 N Broad St, Philadelphia, PA 19140-5103 2018-09-10
1205222767 Ashley N Vogel Pathology 111 S 11th St, Philadelphia, PA 19107 2015-04-11
1831584077 Salvatore Fortunato Priore Jr. Pathology 800 Spruce St, Philadelphia, PA 19107-6130 2015-04-04
1447664230 David Roth Pathology 3400 Spruce St, 6 Gates, Philadelphia, PA 19104-4238 2014-06-19
1912341918 Danielle Fortuna Pathology 3400 Spruce St, Philadelphia, PA 19104 2013-04-20
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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