SUMRA RATHORE (NPI# 1760440481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760440481 |
| Entity Type | Individual |
| Full Name | SUMRA RATHORE |
| Credential | MD |
| Practice Address |
5008 Mustang Rd Jacksonville FL 32216-6028 |
| Practice Telephone | 9042962350 |
| Practice Fax Number | 9042968467 |
| Mailing Telephone | 9048879780 |
| Mailing Fax Number | 9042968467 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2010-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME 71280 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 220032664 | 01 |
| Street Address |
5008 MUSTANG RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598173510 | Maud Major-nicolas | Pathology | 5008 Mustang Rd, Jacksonville, FL 32216-6028 | 2014-07-23 |
| 1205905486 | Ann Allisa Church | Dermatology | 5008 Mustang Rd, Jacksonville, FL 32216-6028 | 2006-11-06 |
| 1417960626 | Bernhardt Laboratories Inc | Clinical Medical Laboratory | 5008 Mustang Rd, Jacksonville, FL 32216-6028 | 2006-08-15 |
| 1265453302 | Sarah Barksdale, Md, Pa | Pathology | 5008 Mustang Rd, Jacksonville, FL 32216-6028 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| 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 |
|---|---|---|---|---|
| 1437382173 | Janese A Trimaldi | Pathology | 2020 Dunsford Ter Apt 2, Jacksonville, FL 32207-4397 | 2009-08-28 |
| 1245435155 | Robert Thomas Williams | Pathology | 193 Belmont Dr, Jacksonville, FL 32259-8871 | 2007-06-19 |
| 1932260395 | Elaine Salazar | Pathology | 12213 Gehrig Dr, Jacksonville, FL 32224-4630 | 2006-12-12 |
| 1023179470 | Amir Mohammadi | Pathology | 11156 Wyndham Hollow Ln, Jacksonville, FL 32246-8480 | 2006-12-12 |
| 1104833631 | Mark Stephan Dolz | Pathology | 1600 W Walnut, Passavant Area Hospital - Laboratory, Jacksonville, IL 62650 | 2006-08-01 |
| 1063466514 | Jimmy B Harkins Md | Pathology | 501 South Ragsdale, Jacksonville, TX 75766 | 2006-05-20 |
| 1033115761 | Anuradha Arcot | Pathology | 317 Western Blvd, Department of Pathology, Jacksonville, NC 28546-6338 | 2005-06-27 |
| 1558819318 | Ramila Amre | Pathology | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2016-09-21 |
| 1396198149 | Amal Mohammed M Shukri | Pathology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-07-18 |
| 1295188019 | Noor Deeb Saad Marji | Pathology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-07-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.