BAY PATHOLOGY, PC (NPI# 1801983135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801983135 |
| Entity Type | Organization |
| Organization Name | BAY PATHOLOGY, PC |
| Practice Address |
1900 Columbus Ave Bay City MI 48708-6831 |
| Practice Telephone | 9898943000 |
| Mailing Telephone | 9898943000 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-07-23 |
| Authorized Official Name | DR. DENNIS W SPENDER (PRESIDENT) |
| Authorized Official Telephone | 9898943000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTHPLUS OF MI | 0996950 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 0Z91025 | 01 |
| MI | COMMUNITY CHOICE OF MI | 39321 | 01 |
| MI | THE WELLNESS PLAN | 1017024-001 | 01 |
| MI | MIDWEST HEALTH PLAN | 029610 | 01 |
| MI | PRIORITY HEALTH | 17946 | 01 |
| MI | RAILROAD MEDICARE | CI9310 | 01 |
| MI | MCLAREN HEALTH ADVANTAGE | 1005745 | 01 |
| MI | US DEPT OF LABOR WORKCOMP | 611373300 | 01 |
| Street Address |
1900 COLUMBUS AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48708-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383242 | Christopher A. Mills | Anesthesiology | 1900 Columbus Ave, Bay City, MI 48708-6880 | 2005-11-14 |
| 1699390591 | Michael Donald Bouckaert | Pharmacist | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-16 |
| 1851916092 | Eric Lee Howard | Student in an Organized Health Care Education/Training Program | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-13 |
| 1174147417 | Lindsey Krueger | Student in an Organized Health Care Education/Training Program | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2020-06-02 |
| 1356960298 | Richard Michael Mohammed | Family Medicine | 1900 Columbus Ave, Bay City, MI 48708-6880 | 2020-04-10 |
| 1457996407 | Wilma Smith | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-11-14 |
| 1851934483 | Tiffanee Frances Wazny-kohl | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-10-27 |
| 1013563261 | Christine L Gransden | Nurse Practitioner | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-08-14 |
| 1841844792 | Kayla Zachary | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
| 1891349601 | Audrey Adams | Nurse Anesthetist, Certified Registered | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2019-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370399 | Francine Marie Dixon | Pharmacist | 1800 Columbus Ave Ste P, Bay City, MI 48708 | 2020-06-16 |
| 1417578261 | Kassie L Pagliughi | Counselor | 1100 N. Grant Street, Bay City, MI 48708 | 2020-05-04 |
| 1346711694 | Connie Lynn Mossner | Physical Therapy Assistant | 2112 16 Th Street, Ste 7, Bay City, MI 48708 | 2018-12-16 |
| 1275003766 | Great Lakes Bay Health Centers | Clinic/Center | 1821 Mckinley St, Bay City, MI 48708 | 2018-11-28 |
| 1891204970 | Ronald Lavern Polhill Jr. | Registered Nurse | 701 South Lincoln St., Bay City, MI 48708 | 2017-09-21 |
| 1447610001 | Jeffrey M Hunt | Nurse Practitioner | 714 S. Trumbull St., Bay City, MI 48708 | 2016-02-25 |
| 1457762437 | Asim Malik | Emergency Medicine | 1900 Columbus Ave # B203, Bay City, MI 48708 | 2014-05-13 |
| 1538584768 | Sarah R. Vanparis | Registered Nurse | 1010 N. Madison, Bay City, MI 48708 | 2014-02-25 |
| 1033549316 | Melissa Rood | Case Manager/Care Coordinator | 1001 Mulholland, Bay City, MI 48708 | 2013-11-22 |
| 1528498953 | Shannon Rae Ogg | Social Worker | 2110 16th St Ste 7, Bay City, MI 48708 | 2013-11-21 |
| Find all providers in zip 48708 | ||||
| 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 |
|---|---|---|---|---|
| 1821007071 | Richard Reed Johnston | Pathology | 1302 Marlin Ct, Bay City, TX 77414-8310 | 2006-08-05 |
| 1356520399 | Joseph Thomas Czaja | Pathology | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2007-10-26 |
| 1730372913 | Shane Randall Starr | Pathology | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2007-08-22 |
| 1487755971 | Dennis Wayne Spender | Pathology | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1942756234 | Ahmed Alrajjal | Pathology | 459 Calvin Avenue, Grosse Pointe Farms, MI 48236-3236 | 2016-08-28 |
| 1649630435 | Barry Dewitt | Pathology | 11345 Greenview Dr, Fenton, MI 48430-2591 | 2016-03-07 |
| 1922467919 | Wilford E. Maldonado | Pathology | 4722 Huron Hill Dr, Okemos, MI 48864-2052 | 2016-02-18 |
| 1144636895 | Ramya Gadde | Pathology | 2799 W.grand Boulevard,henry Ford Hospital, Detroit, MI 48202-2608 | 2014-07-02 |
| 1710329206 | Yulei Shen | Pathology | 1546 Brentwood Dr, Troy, MI 48098-2713 | 2013-07-24 |
| 1437596046 | John P Sherbeck | Pathology | 5305 East Huron River Drive, Ann Arbor, MI 48106 | 2013-05-23 |
| 1942552336 | Kusum Kumar | Pathology | 3885 Highwood Pl, Okemos, MI 48864-3790 | 2012-10-09 |
| 1073864898 | Karel Kithier | Pathology | 5022 Temple Drive, Sterling Heights, MI 48310-4067 | 2012-09-20 |
| 1306191085 | Nathan Stepanek Shaller | Pathology | 1301 Catherine Street, Ann Arbor, MI 48109-5602 | 2012-07-18 |
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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.