RANDOLPH A. HENNIGAR (NPI# 1467410266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467410266 |
| Entity Type | Individual |
| Full Name | RANDOLPH A. HENNIGAR |
| Credential | PH.D., M.D. |
| Practice Address |
Department of Pathology 101 Nicolls Rd Bst-9t Rm 140 Stony Brook NY 11794-1059 |
| Mailing Address |
Department of Pathology 101 Nicolls Rd Bst-9t Rm 140 Stony Brook NY 11794-8691 |
| Practice Telephone | 7708431990 |
| Mailing Telephone | 7708431990 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
307626 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1364 Clifton Rd Ne, Room H194, Atlanta, GA 303221059 | 4047279885 | 4047273133 |
| Street Address |
DEPARTMENT OF PATHOLOGY 101 NICOLLS RD BST-9T RM 140 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1487967527 | Syed Tanvir Hoda | Pathology | Stony Brook Pathologists Ufpc, Basic Science Tower Level 9 Rm 140e, Stony Brook, NY 11794-8691 | 2010-07-19 |
| 1912151499 | Ming Wu | Pathology | Stony Brook University Medical Ctr, Department of Pathology, Level 2, Room 766, Stony Brook, NY 11794-7025 | 2008-11-10 |
| 1518088954 | James Earl Davis | Pathology | Stony Brook University Hospital, University Hospital Level 2, Room 766, Stony Brook, NY 11794-0001 | 2007-04-03 |
| 1164464293 | Alan Heimann | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-12 |
| 1871531483 | Sonya Hwang | Pathology | University Hospital, Stony Brook, NY 11794-0001 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649445 | Ben Bristol | Pathology | 424 Manville Rd Apt 2, Pleasantville, NY 10570-2848 | 2020-08-11 |
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1376164541 | Iftikhar Butt | Pathology | 17 Stablegate Dr, Clifton Park, NY 12065-6796 | 2020-04-29 |
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1902436728 | Coney Island Medical Diagnostic Services P C | Pathology | 1704 Mermaid Ave Ste 6, Brooklyn, NY 11224-2622 | 2020-01-21 |
| 1821527680 | Gamaliel Immanuel Medical Services PC | Pathology | 230 Hilton Ave Ste 214, Hempstead, NY 11550-8116 | 2017-06-06 |
| 1639605991 | New York Medical and Diagnostic Services PC | Pathology | 2315 86th St Fl 1, Brooklyn, NY 11214-4309 | 2017-05-05 |
| 1902355415 | Jayne Elizabeth Kremzier | Pathology | 349 Reist St, Williamsville, NY 14221-5344 | 2016-09-26 |
| 1336509090 | Joseph C Segen | Pathology | 1 Hawthorne Ln, Manhasset, NY 11030-1505 | 2016-02-24 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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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.