JOSEPH P BERGERON (NPI# 1518194802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518194802 |
| Entity Type | Individual |
| Full Name | JOSEPH P BERGERON |
| Credential | MD |
| Practice Address |
677 Church St. Kennestone Hospital Department of Pathology Marietta GA 30060 |
| Mailing Address |
1242 Fawndale Dr Nw Kennesaw GA 30152-3960 |
| Practice Telephone | 7707935452 |
| Mailing Telephone | 7707935452 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0500X |
Pathology Specialization: Cytopathology |
71667 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639211808 | Joseph William Bergeron | Physical Medicine & Rehabilitation | 9292 N Meridian St Ste 111, Indianapolis, IN 46260-1828 | 2007-02-13 |
| 1487613444 | Joseph C. Bergeron | Pathology | 152 2nd Ave, Needham, MA 02494-2809 | 2006-03-20 |
| Street Address |
677 CHURCH ST. KENNESTONE HOSPITAL DEPARTMENT OF PATHOLOGY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207ZC0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Cytopathology |
| A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist’s practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the "Pap" test. However, the cytopathologist’s expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427264498 | Joseph Jakowski | Pathology | 677 Church St Ne, Marietta, GA 30060-1101 | 2007-05-15 |
| 1164473898 | Sara Nolting | Pathology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-05-15 |
| 1194776732 | Carol P Crisco | Pathology | 677 Church St Ne, Marietta, GA 30060-1101 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194188300 | Martin Mccann | Pathology | 6000 River Rd Apt 1106, Columbus, GA 31904-4582 | 2016-04-04 |
| 1669737920 | Abdulwahab M Ewaz | Pathology | 1364 Clifton Rd Ne Rm N251, Atlanta, GA 30322-1059 | 2012-07-11 |
| 1588943856 | Vaidehi Avadhani | Pathology | Pathology and Laboratory Medicine Emory, Room H183, 1364 Clifton Road Ne, Atlanta, GA 30322-8110 | 2011-08-04 |
| 1699918615 | Qiuying Shi | Pathology | 550 Peachtree St Ne Ste 1314-a, Atlanta, GA 30308 | 2009-04-07 |
| 1245437813 | Sravankumar Kavuri | Pathology | 1 Freedom Way # 239, Augusta, GA 30904-6258 | 2007-06-28 |
| 1922181940 | Robert S Smith | Pathology | 11810 Wills Rd, Suite 100, Alpharetta, GA 30009-2081 | 2006-10-23 |
| 1184674541 | Talaat S. Tadros | Pathology | Grady Memorial Hospital, 8n Jesse Hill Dr., Rm. Cg-20, Atlanta, GA 30303 | 2006-05-10 |
| 1407188345 | Southeastern Pathology, P.C. | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2010-02-03 |
| 1902049505 | Hunter Lamkin Johnson | Pathology | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2009-04-13 |
| 1679731095 | Li Ma | Pathology | 203 Indigo Drive, Southeastern Pathology Associates, Inc., Brunswick, GA 31525 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
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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.