DR. THEODORE CARLTON BROOKS (NPI# 1801106836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801106836 |
| Entity Type | Individual |
| Full Name | DR. THEODORE CARLTON BROOKS |
| Credential | M.D. |
| Practice Address |
341 Beaver St Sewickley PA 15143-1438 |
| Practice Telephone | 3046396753 |
| Mailing Telephone | 3046396753 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2017-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
39871 | WI | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
194723 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 194723-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578776316 | Theodore Hamlin Brooks | Dentist | 108 Clark Lake Rd, Durham, NC 27707-9557 | 2007-05-08 |
| 1023088812 | Theodore T Brooks | Family Medicine | 14 Tsienneto Rd Ste 200a, Derry, NH 03038 | 2006-01-24 |
| Street Address |
341 BEAVER ST |
| City | SEWICKLEY |
| State | PA |
| Zip Code | 15143-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679082713 | Annie Cares, Inc. | Case Management | 207 Timber Lane, Sewickley, PA 15143 | 2017-09-20 |
| 1083132617 | Andrew Wu | Specialist/Technologist | 1420 North Shevlin Court, Sewickley, PA 15143 | 2017-09-04 |
| 1619498706 | Marisa Lynn Ciamacca | Optometrist | 2591 Wexford Bayne Rd Ste 104, Sewickley, PA 15143 | 2017-06-29 |
| 1730619644 | Eva Marie Haddad | Physician Assistant | 2100 Georgetowne Drive, Suite 400, Sewickley, PA 15143 | 2017-06-13 |
| 1376098129 | Stephanie Harkins | Chiropractor | 1 Ohio River Blvd, Sewickley, PA 15143 | 2016-08-22 |
| 1710339692 | Kara Lynn Varga | Optometrist | 400 Broad Street Suite 2020, Sewickley, PA 15143 | 2016-07-05 |
| 1265890511 | Stacy Moon | Chiropractor | 2605 Nicholson Road, Building 3, Suite 120, Sewickley, PA 15143 | 2016-02-02 |
| 1003286857 | John Robert Utberg | Obstetrics & Gynecology | 210 Alagua Dr., Sewickley, PA 15143 | 2015-10-05 |
| 1588043434 | Simmons Chiropractic & Wellness | Chiropractor | 2425 Rochester Rd, Sewickley, PA 15143 | 2015-05-26 |
| 1316346042 | Lauri Lang | Dietitian, Registered | 2607 Nicholson Rd., Suite 2100, Building 2, Sewickley, PA 15143 | 2014-08-19 |
| Find all providers in zip 15143 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1750891362 | Peter Michael Jucovy | Pathology | 7414 Crittenden St, Philadelphia, PA 19119-1015 | 2017-10-09 |
| 1073929840 | Ann Minehan Ainsworth | Pathology | 35 Horseshoe Ln, Newtown Square, PA 19073-2924 | 2014-07-01 |
| 1427478205 | Manju Ambelil | Pathology | 132 S 10th St # 285k, Philadelphia, PA 19107-5244 | 2014-04-21 |
| 1235570615 | Abul Ala Syed Rifat Mannan | Pathology | 801 Spruce St Fl 10, Philadelphia, PA 19107 | 2013-07-12 |
| 1912255357 | Donald Joseph Manz | Pathology | 1600 Ulster Ln, West Chester, PA 19380-6846 | 2012-08-15 |
| 1073879656 | Stacey Mardekian Gargano | Pathology | 132 S 10th St Ste 285k, Philadelphia, PA 19107-5244 | 2012-04-08 |
| 1265705164 | Paul Leroy Lewis | Pathology | 521 Baird Road, Merion Station, PA 19066 | 2012-02-23 |
| 1932497351 | Willis Showers Hoch | Pathology | 538 Arlyn Circle, Wayne, PA 19087 | 2011-07-19 |
| 1407147168 | Mohamed Imad Abdien El Hag | Pathology | 3459 5th Ave Ste E-742, Pittsburgh, PA 15213-3236 | 2011-04-28 |
| 1780914937 | Kristina E Antoniades | Pathology | 260 St. Joseph's Way, Philadelphia, PA 19106 | 2010-01-12 |
| Find all providers with the same taxonomy | ||||
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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.