DR. BRADLEY W. BAKOTIC (NPI# 1295710754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295710754 |
Entity Type | Individual |
Full Name | DR. BRADLEY W. BAKOTIC |
Credential | DO |
Practice Address |
2001 Westside Parkway Suite 290 Alpharetta GA 30004-8514 |
Mailing Address |
Po Box 6039 Falmouth ME 04105-6039 |
Practice Telephone | 8773767284 |
Practice Fax Number | 7704750533 |
Mailing Telephone | 8883023045 |
Mailing Fax Number | 2073477401 |
Enumeration Date | 2005-12-07 |
Last Update Date | 2009-02-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
048594 | GA | Allopathic & Osteopathic Physicians |
N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
OS8431 | FL | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
OS8431 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 262219000 | 05 |
Street Address |
2001 WESTSIDE PARKWAY SUITE 290 |
City | ALPHARETTA |
State | GA |
Zip Code | 30004-8514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
Find all providers in zip 30004 |
Taxonomy Code | 207ZD0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Dermatopathology |
A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639158389 | Scott M Acker | Pathology | 6240 Shiloh Rd Ste B, Alpharetta, GA 30005-8347 | 2006-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871630350 | Seth Ian Rosenthal | Pathology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 | 2007-01-31 |
1780623785 | Jessie Lee | Pathology | 175 White St Nw, Suite 370, Marietta, GA 30060-1053 | 2006-06-05 |
1295798320 | Wayne L Bakotic | Pathology | 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 | 2006-04-10 |
1134193774 | Drazen M Jukic | Pathology | 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 | 2006-02-13 |
1093797144 | Michael J Palko IIi | Pathology | 510 E Oglethorpe Hwy, Hinesville, GA 31313 | 2005-11-15 |
1053392191 | Ling Chen | Pathology | 1951 Clairmont Rd, Decatur, GA 30033-3415 | 2005-11-07 |
1649270885 | Jordan H. Berne | Pathology | 6095 Barfield Rd Ne, Suite 200, Atlanta, GA 30328-4408 | 2005-07-29 |
1588667380 | Christopher J Kligora | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-05-24 |
1912900697 | Steve M Covington IIi | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2005-05-24 |
1295386928 | Podpath, Inc | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2019-09-24 |
Find all providers with the same taxonomy |
City | ALPHARETTA |
Zip Code | 30004 |
Please comment or provide details below to improve the information on DR. BRADLEY W. BAKOTIC.
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.