DR. CARL MASAO MINAMI (NPI# 1710975685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710975685 |
| Entity Type | Individual |
| Full Name | DR. CARL MASAO MINAMI |
| Credential | M.D. |
| Practice Address |
2305 Chambliss Ave Nw Cleveland TN 37311-3847 |
| Mailing Address |
5301 Virginia Way Suite 300 Brentwood TN 37027-7541 |
| Practice Telephone | 6156954977 |
| Practice Fax Number | 6152633348 |
| Mailing Telephone | 6156954977 |
| Mailing Fax Number | 6152633348 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2018-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
MD0000037197 | TN | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD0000037197 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q026402 | 05 |
| Street Address |
2305 CHAMBLISS AVE NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154329845 | Howard Kenton Hamilton | Radiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2005-07-07 |
| 1710592035 | Jessica Marie Rose | Registered Nurse | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-09-14 |
| 1518580893 | Cleveland Tennessee Hospital Company LLC | Medicare Defined Swing Bed Unit | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-05-21 |
| 1093345134 | Megan Randolph Justice | Specialist/Technologist, Other | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2020-01-16 |
| 1922565282 | Nicholas Alexander Taylor | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2019-02-22 |
| 1720580582 | Zachary Ryan Brown | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2018-03-07 |
| 1386193803 | Barratt Lee Schichtel | Nurse Practitioner | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-09-26 |
| 1740630243 | Matthew Shachner | Anesthesiology | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-06-15 |
| 1740649706 | Jennifer Hinds | Physician Assistant | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2016-02-18 |
| 1760866735 | Ahmadur Rahman Siddiqui | Internal Medicine | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 | 2015-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| 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 |
|---|---|---|---|---|
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1013204650 | Ana Lucia Ruano Mendez | Pathology | 9500 Euclid Ave # L25, Cleveland, OH 44195-0001 | 2011-07-04 |
| 1164561007 | Indira Pillay | Pathology | 1730 W 25 Street, Cleveland, OH 44113 | 2007-02-06 |
| 1851386163 | Anthony Simonetti | Pathology | 9500 Euclid Ave #406, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2005-09-13 |
| 1427608314 | Daniel Lee Shen | Pathology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-09-12 |
| 1326609231 | Narendra Bhattarai | Pathology | Cleveland Clinic 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2019-06-23 |
| 1952962946 | Mrinal Sarwate | Pathology | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2019-06-21 |
| 1770069668 | Frido Karl Ludwig Bruehl | Pathology | Cleveland Clinic 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2018-07-14 |
| 1962996496 | Emad Ibrahim Ababneh | Pathology | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2018-06-18 |
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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.