Advanced Digital Anatomic Pathology Technologies, PLLC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

ADVANCED DIGITAL ANATOMIC PATHOLOGY TECHNOLOGIES, PLLC

Practice address

27716 Cashford Cir
Ste 101C
Wesley Chapel, FL 33544-6962

Phone

(813) 669-9113

NPI assigned

Nov 19, 2012

Last updated

Feb 13, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Drazen M Jukic, M.D. PH. D.NPI 1134193774

Title

President

Phone

(813) 558-8170

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ADAPT Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Drazen M Jukic, MD, PHD

  • Dermatopathology (Pathology) Physician
  • Savannah, GA
  • NPI 1134193774
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1174867899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27716 CASHFORD CIR",
            "address_2": "STE 101C",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446962",
            "telephone_number": "813-669-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27716 CASHFORD CIR",
            "address_2": "STE 101C",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446962",
            "telephone_number": "813-669-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DIGITAL ANATOMIC PATHOLOGY TECHNOLOGIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "JUKIC",
        "authorized_official_first_name": "DRAZEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-558-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. PH. D."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EL095A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Diedre Adrasse, RBT-21-168594
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• Anatomic Pathology Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.