DR. BALSHIK MIN (NPI# 1629067434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629067434 |
| Entity Type | Individual |
| Full Name | DR. BALSHIK MIN |
| Credential | M.D. |
| Practice Address |
1500 N James St Rome NY 13440-2844 |
| Mailing Address |
19 Rollingwood Dr New Hartford NY 13413-2707 |
| Practice Telephone | 3153387045 |
| Practice Fax Number | 3153387340 |
| Mailing Telephone | 3157933238 |
| Mailing Fax Number | 3153387340 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
135937 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01429996 | 05 |
| Street Address |
1500 N JAMES ST |
| City | ROME |
| State | NY |
| Zip Code | 13440-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546440 | Rome Memorial Hospital, Inc. | General Acute Care Hospital | 1500 N James St, Rome, NY 13440-2844 | 2005-05-23 |
| 1346870102 | Courtney C Waite | Occupational Therapist | 1500 N James St, Rome, NY 13440-2844 | 2020-01-21 |
| 1578123212 | Abigail Peckham | Nurse Practitioner | 1500 N James St, Rome, NY 13440-2844 | 2019-06-14 |
| 1508420381 | Daniel Steven Kemp | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2019-04-26 |
| 1457843682 | Melissa Flury | Speech-Language Pathologist | 1500 N James St, Rome, NY 13440-2844 | 2018-06-04 |
| 1437670106 | Kelly Miller | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-07-03 |
| 1659800902 | Hayley Coon | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-06-09 |
| 1821527169 | Jennifer Barone | Occupational Therapist | 1500 N James St, Rome, NY 13440-2844 | 2017-06-09 |
| 1902201494 | Justin Daniel Waters | Physical Therapist | 1500 N James St, Rome, NY 13440-2844 | 2014-10-27 |
| 1801298872 | Brianna Brognano | Pharmacist | 1500 N James St, Rome, NY 13440-2844 | 2014-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
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| 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 |
|---|---|---|---|---|
| 1649538570 | Kara L Duncan | Pathology | 311 W 8th St Ne, Rome, GA 30165-2797 | 2012-04-28 |
| 1427107036 | Susan Elena Shirley | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2007-01-10 |
| 1083612501 | Patrick David Kearns | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-07-08 |
| 1508869389 | Steven G Hom | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-05-24 |
| 1740283530 | Frederick Karl Swiger Jr. | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989388 | Prime Pathology Laboratory, LLC | Pathology | 196 Meeting House Ln, Southampton, NY 11968-5062 | 2019-12-20 |
| 1275006025 | Sterling Physicians | Pathology | 15408 Northern Blvd Ste 2k, Flushing, NY 11354-5042 | 2019-01-04 |
| 1033605696 | Riddhish Tushar Sheth | Pathology | 4370 Kissena Blvd Apt 12a, Flushing, NY 11355 | 2018-07-07 |
| 1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
| 1346755410 | Sunstone Pathology Services PC | Pathology | 1010 Adams Ave, Franklin Square, NY 11010-2248 | 2017-12-11 |
| 1316494578 | Jane Date Hon | Pathology | 7528 167th St, Flushing, NY 11366-1327 | 2016-09-06 |
| 1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
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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.