VIKTOR N GONCHARUK (NPI# 1396728291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396728291 |
Entity Type | Individual |
Full Name | VIKTOR N GONCHARUK |
Credential | M.D. |
Practice Address |
1314 N Macomb St Monroe MI 48162-3131 |
Practice Telephone | 7342426872 |
Practice Fax Number | 7342424962 |
Mailing Telephone | 7342426872 |
Mailing Fax Number | 7342424962 |
Enumeration Date | 2005-11-23 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
4301083295 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1314 N MACOMB ST |
City | MONROE |
State | MI |
Zip Code | 48162-3131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
1255964185 | Pinkus Dermatopathology Laboratory, PC | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2020-02-19 |
1053547885 | Liaqat Ali | Dermatology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2009-06-08 |
1215910252 | David A. Mehregan | Dermatology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-11-23 |
1346223377 | Pinkus Dermatopathology Laboratory, PC | Clinical Medical Laboratory | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-11-23 |
1497738454 | Darius R Mehregan | Dermatology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
Find all providers in zip 48162 |
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 |
---|---|---|---|---|
1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770804312 | David Phillip Arps | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-06-17 |
1861712994 | Joshua R Bradish | Pathology | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2010-06-11 |
1033351044 | Rajiv Michael Patel | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2009-04-06 |
1720292493 | Michelle R Young | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2007-05-10 |
1992828560 | Limin Yu | Pathology | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-04-09 |
1477601185 | Min W. Lee | Pathology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-08 |
1457419160 | Mary Beth Anderson | Pathology | 18756 Millar Rd, Clinton Township, MI 48036-2095 | 2006-12-05 |
1326120023 | Kimberley Gretchen Behrens | Pathology | 6330 Orchard Lake Rd, Suite 120, West Bloomfield, MI 48322-2398 | 2006-10-20 |
1730260183 | Douglas R Fullen | Pathology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-10-18 |
1740397124 | Kent Pathology Laboratory Pllc | Pathology | 2650 Horizon Dr Se, Suite B, Grand Rapids, MI 49546-7519 | 2006-08-23 |
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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.