PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS INC (NPI# 1700860962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700860962 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PATHOLOGY ASSOCIATES OF COLUMBUS INC |
| Practice Address |
700 Childrens Dr Columbus OH 43205-2664 |
| Mailing Address |
Dept 781676 Po Box 78000 Detroit MI 48278-1676 |
| Practice Telephone | 6147225315 |
| Practice Fax Number | 6147223033 |
| Mailing Telephone | 6147225315 |
| Mailing Fax Number | 6147223033 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | SHAMLAL MANGRAY (PRESIDENT) |
| Authorized Official Telephone | 6147225315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
36D0665271 | OH | Allopathic & Osteopathic Physicians |
| Y | 291U00000X | Clinical Medical Laboratory | 36D0665271 | OH | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2066688 | 05 | |
| AETNA | 5907692 | 01 | |
| OH | BCBS | 000000122252 | 01 |
| Street Address |
700 CHILDRENS DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031487 | Maryam Fouladi | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-05-23 |
| 1891395794 | Lubna Mazin | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-29 |
| 1326648635 | Annie Mae Thompson | Nurse Practitioner | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-27 |
| 1710586383 | Kara Monnin | Psychologist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-23 |
| 1669071437 | Benjamin Barth | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-22 |
| 1982202289 | Matthew Dick | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-09 |
| 1972100642 | Weslie Donia | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-10-06 |
| 1245847631 | Christopher Miskell | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-29 |
| 1659988061 | Lauren Haunani Peck | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-29 |
| 1952918914 | Sumeet Minhas | Dentist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2020-09-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740843705 | Cryobiology, Inc. | Clinical Medical Laboratory | 4830 Knightsbridge Blvd Ste D, Columbus, OH 43214-2300 | 2019-04-16 |
| 1467920827 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1400 Bradley Lake Blvd Ste 7, Columbus, GA 31904-3688 | 2018-11-05 |
| 1942708946 | Addiction Angels of America, LLC | Clinical Medical Laboratory | 1525 Bethel Rd, Columbus, OH 43220-2054 | 2018-01-25 |
| 1437679180 | Polaris Laboratories LLC | Clinical Medical Laboratory | 2694 Sawbury Blvd, Columbus, OH 43235-1821 | 2017-06-23 |
| 1205200888 | Pathpro Diagnostics, LLC | Clinical Medical Laboratory | 506 Manchester Expy Ste B2, Columbus, GA 31904-6448 | 2015-11-19 |
| 1134528052 | Complete Lab & Drug Test | Clinical Medical Laboratory | 4661 Cleveland Ave Bldg A, Columbus, OH 43231-5848 | 2014-08-15 |
| 1356761928 | Walnut Creek Sober Living and Recovery LLC | Clinical Medical Laboratory | 3821 Walnut Creek Dr, Columbus, OH 43224-2530 | 2014-04-22 |
| 1881922425 | Urban Health Center LLC | Clinical Medical Laboratory | 5600 Ironwood Ct Apt C, Columbus, OH 43229-4360 | 2009-11-19 |
| 1316274947 | Bethel Road Open Mri Inc | Clinical Medical Laboratory | 975 Bethel Rd, Columbus, OH 43214-1905 | 2009-11-03 |
| 1639330426 | The Macintosh Company | Clinical Medical Laboratory | 3700 Olentangy River Rd, Columbus, OH 43214-3426 | 2008-06-24 |
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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.