CHARLES H. CHODOROW (NPI# 1619959657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619959657 |
| Entity Type | Individual |
| Full Name | CHARLES H. CHODOROW |
| Credential | D.O. |
| Practice Address |
1350 S Hickory St Dept. of Pathology Melbourne FL 32901-3278 |
| Mailing Address |
Po Box 144333 Orlando FL 32814-4333 |
| Practice Telephone | 3214347000 |
| Practice Fax Number | 3214345295 |
| Mailing Telephone | 4074229831 |
| Mailing Fax Number | 4076482065 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
OS6659 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE - HF | 80896V | 01 |
| FL | 377015000 | 05 |
| Street Address |
1350 S HICKORY ST DEPT. OF PATHOLOGY |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526958 | Mark Edmund Pessa | Surgery | 1350 S Hickory St, Suite Pso, Melbourne, FL 32901 | 2005-05-24 |
| 1780041483 | Jacqueline Jennings | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901 | 2016-01-26 |
| 1396026027 | Jessica Mortin Wicker | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1518248251 | Mary Haddadin | Occupational Therapist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-09-08 |
| 1215235338 | Lee Ann Finizio | Registered Nurse | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-03-14 |
| 1700183506 | Space Coast Pathologists Pa | Clinical Medical Laboratory | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2011-02-15 |
| 1548562127 | Kimberly Lynn Hunger | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-12-02 |
| 1457661902 | Jason Michael Perry | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1063722569 | Catherine Anne Barbour | Social Worker | 1350 S Hickory St, Case Management Department, Melbourne, FL 32901-3224 | 2010-10-18 |
| 1346571684 | Stephen Paul Gilbert | Pharmacist | 1350 S Hickory St, Melbourne, FL 32901-3224 | 2010-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| 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 |
|---|---|---|---|---|
| 1497963862 | Sean Arie Cote | Pathology | 27 E. Hibiscus Blvd, Melbourne, FL 32901 | 2007-05-18 |
| 1265550115 | Nasreen Qazi | Pathology | 4470 Portage Trail, Melbourne, FL 32940 | 2007-03-27 |
| 1982002473 | Brevard Pathology Services Pa | Pathology | 1350 Hickory St, Melbourne, FL 32901-3224 | 2014-12-15 |
| 1710270095 | Brevard Pathology Pa | Pathology | 8745 N Wickham Rd, Melbourne, FL 32940-5997 | 2011-05-19 |
| 1184606188 | Space Coast Pathologists Pa | Pathology | 1350 S Hickory St, Dept. of Pathology, Melbourne, FL 32901-3278 | 2005-11-16 |
| 1376525360 | Aneal S. Masih | Pathology | 1350 S Hickory St, Dept. of Pathology, Melbourne, FL 32901-3278 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
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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.