JESSICA ZARAH SUGIANTO (NPI# 1437389277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437389277 |
| Entity Type | Individual |
| Full Name | JESSICA ZARAH SUGIANTO |
| Credential | MD |
| Practice Address |
6655 N Macarthur Blvd Irving TX 75039-2443 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 2142778700 |
| Practice Fax Number | 2145967484 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Q5932 | TX | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Q5932 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6655 N MACARTHUR BLVD |
| City | IRVING |
| State | TX |
| Zip Code | 75039-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789154 | Armineh Kajoian | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2005-06-13 |
| 1043589161 | Caris Mpi, Inc. | Clinical Medical Laboratory | 6655 N Macarthur Blvd, 3rd Floor, Irving, TX 75039-2443 | 2011-12-19 |
| 1578848842 | Jyoti Kapil | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2011-10-18 |
| 1407173099 | Daniel Barkman Wimmer IIi | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2010-04-22 |
| 1326277286 | Ji Yoon Yoon | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2009-07-13 |
| 1598905689 | Raanan Sela | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2009-03-02 |
| 1184874125 | Kevin Orlando Turner | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2008-09-26 |
| 1295991198 | Reenu Malhotra | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-31 |
| 1760647200 | Franto Francis | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-24 |
| 1346404464 | Jonathan Scott Ralston | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976714 | Blue Light Therapies LLC | Clinic/Center | 421 E Royal Ln Suite 100, Irving, TN 75039 | 2020-06-12 |
| 1912537127 | Family Pharmacy @ Las Colinas LLC | Pharmacy | 6555 North State Hwy 161, Suite B, Irving, TX 75039 | 2020-01-16 |
| 1669011581 | Thrive House Therapy Pllc | Counselor | 5000 Riverside Drive, Bldg 6, Ste 100, Irving, TX 75039 | 2019-12-23 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1932753894 | Jane Spagnoletti Niemtschk | Pharmacist | 750 West John Carpenter Freeway, Mc500, Irving, TX 75039 | 2019-07-30 |
| 1235796640 | Daniel Puig | Massage Therapist | 5000 Riverside Dr. Bldg 6 Ste. 100e, Irving, TX 75039 | 2019-05-21 |
| 1104301738 | Charity Maashe | Technician, Other | 400 E. Royal Lane, Bld 3, Ste 290, Irving, TX 75039 | 2018-09-28 |
| 1225545460 | Kuriachan Eye Institute, Pllc | Ophthalmology | 6750 N Macarthur Blvd Ste 331, Irving, TX 75039 | 2018-01-09 |
| 1619489978 | Eric Reaves | Assistant Behavior Analyst | 400 E. Royal Lane Bldg. 3, Suite 290, Irving, TX 75039 | 2017-10-26 |
| 1194247023 | Michael Do | Optometrist | 6445 Love Dr Apt 3035, Irving, TX 75039 | 2017-07-12 |
| Find all providers in zip 75039 | ||||
| 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 |
|---|---|---|---|---|
| 1578848842 | Jyoti Kapil | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2011-10-18 |
| 1407173099 | Daniel Barkman Wimmer IIi | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2010-04-22 |
| 1346404464 | Jonathan Scott Ralston | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-07-17 |
| 1184890634 | Heather Martin Froehlich | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2008-05-05 |
| 1417002239 | Sadia Salim | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2007-01-24 |
| 1083694418 | Mark R Matthews | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2006-01-20 |
| 1386624344 | Prasanna A Sinkre | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039 | 2006-01-18 |
| 1437130804 | Darren Eugene Whittemore | Pathology | 6655 N Macarthur Blvd, Irving, TX 75039-2443 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070886 | Mpl Inc. | Pathology | 1801 Royal Ln Ste 805, Dallas, TX 75229-7521 | 2017-08-25 |
| 1558606533 | Austin Dermpath Associates | Pathology | 3010 Williams Drive, Suite 174, Georgetown, TX 78628-2785 | 2012-12-03 |
| 1912226812 | Daniel Noland Cohen | Pathology | 2002 Holcombe Blvd Fl 3, 3b-310-suite E, Houston, TX 77030-4211 | 2010-05-18 |
| 1689716714 | Maria Clarissa Herrera | Pathology | 5327 N Central Expy Ste 300, Dallas, TX 75205-3380 | 2007-02-13 |
| 1689616450 | Candace Sue Kasper | Pathology | 2840 Keller Springs Rd, Suite 1104, Carrollton, TX 75006-4829 | 2006-06-13 |
| 1467429217 | Motaz Albahra | Pathology | 700 E Marshall, Longview, TX 75601 | 2006-03-01 |
| 1366421927 | Howard L Martin IIi | Pathology | 4131 Directors Row, Houston, TX 77092-8703 | 2006-01-12 |
| 1689662033 | Judith A Pester | Pathology | 1625 Medical Center St, El Paso, TX 79902-5005 | 2005-10-10 |
| 1265431456 | South Texas Dermatopathology Lab Pa | Pathology | 1122 Austin Hwy, San Antonio, TX 78209-4844 | 2005-07-19 |
| 1326658741 | Pavandeep Gill | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-08-01 |
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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.