DOCTORS PATHOLOGY SERVICES, PA (NPI# 1972503811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972503811 |
| Entity Type | Organization |
| Organization Name | DOCTORS PATHOLOGY SERVICES, PA |
| Practice Address |
1253 College Park Dr Dover DE 19904-8713 |
| Practice Telephone | 3026770000 |
| Mailing Telephone | 3026770000 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | RAY SUKUMAR (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3026770000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
========= | DE | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
08D1010629 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 146200801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 390 Mitch Rd, Wilmington, DE 198043943 | 3026770000 | |
| 6510 Kenilworth Ave # 200, Riverdale, MD 207371339 | 3026770000 | 3026770010 |
| Street Address |
1253 COLLEGE PARK DR |
| City | DOVER |
| State | DE |
| Zip Code | 19904-8713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417104936 | Ricardo M Mendoza Jr. | Pathology | 1253 College Park Dr, Dover, DE 19904-8713 | 2008-08-27 |
| 1649221870 | Warren Gillette Jr. | Specialist | 1253 College Park Dr, Dover, DE 19904-8713 | 2006-05-12 |
| 1356321087 | Venkataraman R Sukumar | Pathology | 1253 College Park Dr, Dover, DE 19904-8713 | 2006-01-19 |
| 1760462410 | Zohreh Zaki | Pathology | 1253 College Park Dr, Dover, DE 19904-8713 | 2006-01-19 |
| 1306826045 | Glory Sandberg | Pathology | 1253 College Park Dr, Dover, DE 19904-8713 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| 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 |
|---|---|---|---|---|
| 1699759720 | Tracy Dahlke | Pathology | 740 S New St Ste B, Dover, DE 19904-3571 | 2005-12-01 |
| 1235324104 | Rc Hastedt Md Inc | Pathology | 659 Boulevard St, Dover, OH 44622-2026 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801910948 | Susan Margaret Donnelly | Pathology | 5301 Limestone Rd Ste 103, Wilmington, DE 19808-1251 | 2007-03-16 |
| 1073666228 | Michael I Klibaner | Pathology | Astrazeneca L.p., 1800 Concord Pike, Wilmington, DE 19850 | 2007-01-19 |
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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.