Active NPI
Bakotic Pathology Associates, LLC
Doing business as Cutis Diagnostics
- Dermatopathology (Pathology) Physician
- Alpharetta, GA
National Provider Identifier
1396243630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- Legal business name
- BAKOTIC PATHOLOGY ASSOCIATES, LLC
- Doing business as
- Cutis Diagnostics
- Practice address
- 6240 Shiloh Rd
Alpharetta, GA 30005-8347 - Phone
- (855) 245-2256
- Fax
- (770) 292-9331
- NPI assigned
- Jan 31, 2018
- Last updated
- Jan 31, 2018
- Organization subpart
- Yes
- Parent organization
- BAKOTIC PATHOLOGY ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Bakotic
- Title
- Cfo
- Phone
- (678) 965-2822
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | Primary |
Addresses
Primary practice location
6240 Shiloh Rd
Alpharetta, GA 30005-8347
Mailing address
6240 Shiloh Rd
Alpharetta, GA 30005-8347
Phone (855) 245-2256
Other names 1
- CUTIS DIAGNOSTICS
National Provider Directory
National Provider Directory- Tax ID family
- Bakotic Pathology Assoc
- Part of
- Bakotic Pathology Assoc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Alpharetta, GA
- NPI 1275858524
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1629781752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517356800000",
"number": "1396243630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 SHILOH RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058347",
"telephone_number": "855-245-2256",
"fax_number": "770-292-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 SHILOH RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300058347",
"telephone_number": "855-245-2256",
"fax_number": "770-292-9331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAKOTIC PATHOLOGY ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAKOTIC PATHOLOGY ASSOCIATES, LLC",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A",
"authorized_official_last_name": "BAKOTIC",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "678-965-2822"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CUTIS DIAGNOSTICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.