Outpatient Cytopathology Center

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

MD020455 Issued in TN

Legal business name

OUTPATIENT CYTOPATHOLOGY CENTER

Practice address

2400 Susannah St
Suite a
Johnson City, TN 37601

Phone

(423) 283-4734

Fax

(423) 283-4736

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Susan D Rollins, MD

Title

Medical Director

Phone

(423) 283-4734

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yasmin M Elshenawy, M.D

  • Cytopathology Physician
  • Johnson City, TN
  • NPI 1609031608

  Cytopathology, TN

  Medicare reassignment Care Compare group NPD
• Sarah Kassaby, M.D.

  • Cytopathology Physician
  • Johnson City, TN
  • NPI 1922428689

  Cytopathology, TN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1275740987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2484",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376052484",
            "telephone_number": "423-283-4734",
            "fax_number": "423-283-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SUSANNAH ST",
            "address_2": "SUITE A",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "423-283-4734",
            "fax_number": "423-283-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT CYTOPATHOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-283-4734",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "TN",
            "license": "MD020455",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ostapchuk, MD
• James Milton Otis, OD
• Deanna Marie Ottinger, OTR/L
• Lisa Ousley, DNP
• Michaela Ann Outlaw
• Outreach Clinics Unlimited PLLC
• Carolyn H. Overbay, M.A.
• Paige B Overton, BS
• Vida Oveysi, PHARMD
• Stephanie Lynn Owen, MS, ATC, LAT

• All providers in Johnson City, TN
• Cytopathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.