DR. ROSA TRINIDAD C TABANDA-LICHAUCO (NPI# 1922216233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922216233 |
| Entity Type | Individual |
| Full Name | DR. ROSA TRINIDAD C TABANDA-LICHAUCO |
| Other Name | ROSA TRINIDAD C TABANDA |
| Credential | M.D. |
| Practice Address |
300 El Camino Real Sierra Vista AZ 85635-2812 |
| Mailing Address |
Po Box 609 Hereford AZ 85615-0609 |
| Practice Telephone | 5203351800 |
| Practice Fax Number | 5203352743 |
| Mailing Telephone | 5203351800 |
| Mailing Fax Number | 5203352743 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 36678 | AZ | Other Service Providers |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
36678 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 824163 | 05 |
| Street Address |
300 EL CAMINO REAL |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546853 | Radiology Specialists of Southern Arizona | Radiology | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-05-18 |
| 1144630831 | Sarah Marie Richards | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-05-02 |
| 1063832889 | Omar Waheed | Internal Medicine | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-04-19 |
| 1518301977 | Jeffery James Olsen | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2013-04-29 |
| 1154613644 | Migran Vartanyan | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-05-03 |
| 1437440690 | Gregory Hollick | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-04-22 |
| 1730496829 | Majid Sameer Asawaeer | Internal Medicine | 300 El Camino Real, Cogent Healthcare Office, Sierra Vista, AZ 85635 | 2010-09-10 |
| 1265747687 | Tahera Islam | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2010-08-10 |
| 1356579742 | Frank P Kunik Jr. | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-06-24 |
| 1851538805 | Sierra Vista Regional Health Center Inc | General Acute Care Hospital | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| 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 |
|---|---|---|---|---|
| 1902014905 | Milagros Lopez | Pathology | United Pathology Ltd, 75 Colonia De Salud, Sierra Vista, AZ 85635-2487 | 2007-05-21 |
| 1992142921 | Sierra Vista Pathology PC | Pathology | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2013-05-31 |
| 1316022411 | Max S. Mirot | Pathology | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200632 | Eric David Peters | Pathology | 11545 E Quiet Valley Pl, Tucson, AZ 85749-8884 | 2020-09-17 |
| 1609434794 | Peak Diagnostic Services LLC | Pathology | 3033 N 44th St Ste 200, Phoenix, AZ 85018-7244 | 2019-06-03 |
| 1144638008 | Michael Moore | Pathology | 8796 N Western Red Cedar Dr, Tucson, AZ 85743-7146 | 2014-07-23 |
| 1356683155 | Belinda Liu Sun | Pathology | 1501 N Campbell Ave Rm 5205, Tucson, AZ 85724-7232 | 2013-03-20 |
| 1669717815 | Guadalupe Hortencia Manriquez | Pathology | 7601 N Calle Sin Envidia, 31, Tucson, AZ 85718-1271 | 2012-11-29 |
| 1407164486 | Aztec Pathology LLC | Pathology | 2538 E University Dr Ste 100, Phoenix, AZ 85034-6925 | 2010-09-23 |
| 1336471846 | Peter Salomon | Pathology | 6344 E Miramar Dr, Tucson, AZ 85715-3115 | 2010-02-08 |
| 1427387372 | Meryl Harold Haber | Pathology | 8464 E Charter Oak Dr, Scottsdale, AZ 85260-5315 | 2009-12-23 |
| 1538492400 | Paul Boschen Visconti | Pathology | 33619 N 79th Way, Scottsdale, AZ 85266-4241 | 2009-09-10 |
| 1417186305 | Brent J Bedke | Pathology | 1740 Sycamore Ave Ste C, Kingman, AZ 86409-1039 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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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.