LI MA (NPI# 1679731095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679731095 |
| Entity Type | Individual |
| Full Name | LI MA |
| Credential | M.D. |
| Practice Address |
203 Indigo Drive Southeastern Pathology Associates, Inc. Brunswick GA 31525 |
| Mailing Address |
Po Box 30309 Charleston SC 29417 |
| Practice Telephone | 9122791900 |
| Practice Fax Number | 9122610753 |
| Mailing Telephone | 8435549300 |
| Mailing Fax Number | 8435668780 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
060276 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
060276 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD433014 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
103627 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD.023759 | LA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0431544 | KS | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
060276 | GA | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
60276 | GA | Allopathic & Osteopathic Physicians |
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
060276 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 630468641C | 05 | |
| GA | 630468641J | 05 | |
| GA | 630468641G | 05 | |
| GA | 630468641I | 05 | |
| GA | 630468641 | 05 | |
| GA | 630468641B | 05 | |
| GA | 630468641E | 05 | |
| GA | 630468641H | 05 | |
| GA | 630468641A | 05 | |
| GA | 630468641D | 05 | |
| GA | 630468641F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1790185726 | Li Ma | Acupuncturist | 2361 61st St, Brooklyn, NY 11204-2635 | 2014-08-27 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1003962135 | Li Ma | Acupuncturist | 22227 Redwood Rd, #a, Castro Valley, CA 94546 | 2007-01-25 |
| 1053415638 | Li Ma | Anesthesiology | 19260 Fishermans Bend Drive, Lutz, FL 33558 | 2006-09-12 |
| 1033626171 | Li Ma | Dentist | 738 Wolcott St, Waterbury, CT 06705-1336 | 2018-01-10 |
| 1376059535 | Li Ma | Pharmacist | 18 E 183rd St, Bronx, NY 10453-1241 | 2017-12-22 |
| Street Address |
203 INDIGO DRIVE SOUTHEASTERN PATHOLOGY ASSOCIATES, INC. |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619951332 | Patrick E Godbey | Pathology | 203 Indigo Drive, Southeastern Pathology Associates, Inc., Brunswick, GA 31525 | 2005-12-06 |
| 1124002712 | Carolyn Kinzer-bezanson Wall | Pathology | 203 Indigo Drive, Southeastern Pathology Associates, PC, Brunswick, GA 31525 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | 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: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" 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 |
|---|---|---|---|---|
| 1538712773 | Janet Saxton | Pathology | 90 Rose Anne Loop, Hamilton, GA 31811-6063 | 2019-07-17 |
| 1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
| 1245890359 | Mohamed Yousif Elkhalifa | Pathology | 1405 Clifton Rd, 1st Floor Pathology, Atlanta, GA 30322 | 2019-06-20 |
| 1467986521 | Hirotomo Nakahara | Pathology | 1364 Clifton Rd Ne, H100 Emory University Hospital, Atlanta, GA 30322-1059 | 2017-04-16 |
| 1659505220 | Nikhil Govindbhai Patel | Pathology | 1120 15th St, Clinical Center, 1st Floor, Augusta, GA 30912-0004 | 2009-05-11 |
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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.