GEOFFREY M MIKITA (NPI# 1588920169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588920169 |
| Entity Type | Individual |
| Full Name | GEOFFREY M MIKITA |
| Credential | MD |
| Practice Address |
301 Prospect Ave Syracuse NY 13203-1807 |
| Mailing Address |
Po Box 5597 Somerset NJ 08875-5597 |
| Practice Telephone | 3154485416 |
| Practice Fax Number | 3154486515 |
| Mailing Telephone | 3154485416 |
| Mailing Fax Number | 3154486515 |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
282825 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
301 PROSPECT AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143155 | Joel M Rosenberg | Surgery | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2005-06-09 |
| 1295332641 | Lindsey Bippus | Nurse Anesthetist, Certified Registered | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-10-07 |
| 1811503709 | Arianna Marie Sposato | Registered Nurse | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-09-16 |
| 1861018780 | Kristen Ranallo | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-17 |
| 1871117184 | Joseph Meluni | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1962026286 | George Jiao | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1427672807 | Lauren Macshane | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1225652605 | Robert Magee | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1992329361 | Neil Javed | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| 1134743594 | Lyndsay Christensen | Student in an Organized Health Care Education/Training Program | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical 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. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. 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 |
|---|---|---|---|---|
| 1871940957 | Kristyn Galbraith | Pathology | 750 E Adams St, Syracuse, NY 13210-2306 | 2016-05-19 |
| 1447670658 | Daniel Zaccarini | Pathology | 750 E Adams St, Syracuse, NY 13210-2306 | 2014-04-27 |
| 1164781407 | Yan Hu | Pathology | 301 Prospect Ave, Dept of Pathology, St. Joseph's Hospital Health Center, Syracuse, NY 13203-1807 | 2012-05-07 |
| 1871885301 | Ramona Vesna Untanu | Pathology | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-05-03 |
| 1023349206 | Diana A Dimitrov | Pathology | 1226 E Water St, Syracuse, NY 13210-1155 | 2010-01-27 |
| 1013142082 | Christopher Michael Curtiss | Pathology | 750 E Adams St, Syracuse, NY 13210-2342 | 2009-05-20 |
| 1275767774 | Elizabeth A. Ruckdeschel | Pathology | 750 E. Adams Street, Department of Pathology, Syracuse, NY 13210-2306 | 2009-05-12 |
| 1801049135 | Brando Cobanov | Pathology | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2008-10-30 |
| 1043469406 | Matthew Brian Elkins | Pathology | 750 E. Adams Street, Syracuse, NY 13210 | 2008-09-10 |
| 1174786685 | Vivian Arguello Guerra | Pathology | 750 E Adams St, Department of Clinical Pathology, 3rd Floor, Syracuse, NY 13210-2342 | 2008-07-03 |
| Find all providers in SYRACUSE | ||||
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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.