JESSICA ZARAH SUGIANTO


Address: 6655 N Macarthur Blvd, Irving, TX 75039-2443
Phone: 2142778700

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 6655 N MACARTHUR BLVD
City IRVING
State TX
Zip Code 75039-2443

Providers in the same location

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
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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
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Taxonomy Information

Taxonomy Code 207ZD0900X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Dermatopathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City IRVING
Zip Code 75039

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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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