COLUMBUS INDIANA CLINICAL PATHOLOGY, LLC (NPI# 1902138837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902138837 |
| Entity Type | Organization |
| Organization Name | COLUMBUS INDIANA CLINICAL PATHOLOGY, LLC |
| Practice Address |
2400 17th St Columbus IN 47201-5351 |
| Mailing Address |
Po Box 1286 Columbus IN 47202-1286 |
| Practice Telephone | 8123765322 |
| Practice Fax Number | 8123765431 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | DR. MARYANN L. BRIDGE (ASSOCIATE PATHOLOGIST) |
| Authorized Official Telephone | 8123765322 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01036097A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
2400 17TH ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072517 | Robert Neil Elliott | Internal Medicine | 2400 17th St, Columbus, IN 47201 | 2005-06-08 |
| 1598377467 | Kevin Zachary Kniery | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2020-08-20 |
| 1568094688 | Andrea Kay Valentine | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2020-02-06 |
| 1629624721 | Kelsey Marie Finch | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-14 |
| 1477108660 | Natalie Ann Green | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-05 |
| 1023582434 | Sandra Anne Kuniewicz | Dietitian, Registered | 2400 17th St, Columbus, IN 47201-5351 | 2019-01-18 |
| 1548732530 | Janie Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201 | 2019-01-02 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1508389743 | Jordan R Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-19 |
| 1285156893 | Chelsea Ann Spartz | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| 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 |
|---|---|---|---|---|
| 1326426503 | Gerald Penn Md Inc | Pathology | 2800 Squires Rdg, Columbus, OH 43220-6201 | 2015-05-08 |
| 1730421124 | Eric William Willis | Pathology | 3805 N High St Ste 302, Columbus, OH 43214-3539 | 2013-03-23 |
| 1205122967 | Selene Clarissa Koo | Pathology | 700 Childrens Dr Rm J0336, Columbus, OH 43205-2664 | 2011-06-21 |
| 1558505875 | Yuki Kasama | Pathology | 710 Center St., Sepa @ Columbus Regional Health, Columbus, GA 31901 | 2009-04-30 |
| 1811167133 | Melinda Lucille Schumacher | Pathology | 181 Taylor Ave Fl 3, Columbus, OH 43203-1779 | 2008-03-03 |
| 1568567972 | Richard Lee Gallager | Pathology | 375 Shane Creek Rd, Columbus, MT 59019-7406 | 2006-09-13 |
| 1689789810 | Angela Ines Ruiz | Pathology | 333 W 10th Ave, 4162 Graves Hall, Columbus, OH 43210-1239 | 2006-08-20 |
| 1730191768 | David Michael O'brien | Pathology | 3961 S Summit Ln, Columbus, IN 47201-4971 | 2006-08-11 |
| 1255380630 | Alan Leroy Prok | Pathology | 4619 Kenny Rd, Columbus, OH 43220-2779 | 2006-05-10 |
| 1326027517 | Donald W Chandler | Pathology | 278 Pennington Lake Rd, Columbus, MS 39705-3295 | 2006-01-16 |
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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.