THONGCHAI SRESTHADATTA (NPI# 1295069417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295069417 |
| Entity Type | Individual |
| Full Name | THONGCHAI SRESTHADATTA |
| Credential | D.O. |
| Practice Address |
5100 W Broad St Columbus OH 43228-1607 |
| Practice Telephone | 6145541000 |
| Practice Fax Number | 4198665453 |
| Mailing Telephone | 6145541000 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
34001940 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
5100 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588648091 | Ruth L. Anker | Pathology | 5100 W Broad St, Columbus, OH 43228-1607 | 2005-11-30 |
| 1700406519 | Lakhvir S Atwal | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-04-22 |
| 1619596103 | Clayton Young | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-04-14 |
| 1205455417 | Nathaniel Wesley Wilburn-ogletree | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-04-09 |
| 1740818566 | Michael Aaron Skaletsky | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-03-28 |
| 1558998351 | Camille Denae Hawkins | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-03-24 |
| 1073140620 | Kush Patel | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2020-03-24 |
| 1033774013 | Joseph Murphy Crum Jr. | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-05-06 |
| 1629632211 | Kwasi K. Ampomah | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1672 | 2019-04-29 |
| 1376107078 | Johan Yusof | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1672 | 2019-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| 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 |
|---|---|---|---|---|
| 1326426503 | Gerald Penn Md Inc | Pathology | 2800 Squires Rdg, Columbus, OH 43220-6201 | 2015-05-08 |
| 1730421124 | Eric William Willis | Pathology | 3805 N High St Ste 302, Columbus, OH 43214-3539 | 2013-03-23 |
| 1205122967 | Selene Clarissa Koo | Pathology | 700 Childrens Dr Rm J0336, Columbus, OH 43205-2664 | 2011-06-21 |
| 1558505875 | Yuki Kasama | Pathology | 710 Center St., Sepa @ Columbus Regional Health, Columbus, GA 31901 | 2009-04-30 |
| 1811167133 | Melinda Lucille Schumacher | Pathology | 181 Taylor Ave Fl 3, Columbus, OH 43203-1779 | 2008-03-03 |
| 1568567972 | Richard Lee Gallager | Pathology | 375 Shane Creek Rd, Columbus, MT 59019-7406 | 2006-09-13 |
| 1689789810 | Angela Ines Ruiz | Pathology | 333 W 10th Ave, 4162 Graves Hall, Columbus, OH 43210-1239 | 2006-08-20 |
| 1730191768 | David Michael O'brien | Pathology | 3961 S Summit Ln, Columbus, IN 47201-4971 | 2006-08-11 |
| 1255380630 | Alan Leroy Prok | Pathology | 4619 Kenny Rd, Columbus, OH 43220-2779 | 2006-05-10 |
| 1326027517 | Donald W Chandler | Pathology | 278 Pennington Lake Rd, Columbus, MS 39705-3295 | 2006-01-16 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on THONGCHAI SRESTHADATTA.
| 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.