Hany M Bishara, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

032874 Issued in GA

Practice address

833 Campbell Hill St
Suite 111
Marietta, GA 30060

Phone

(770) 424-7800

Fax

(770) 426-8572

NPI assigned

Apr 3, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri County Pathology Associates Lab

  • Clinical Medical Laboratory
  • Marietta, GA
  • NPI 1164669388
  Authorized official Same address or phone
• Tri-County Pathology Associates, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, GA
  • NPI 1750302303
  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1760444186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60280",
            "address_2": "MCKESSON CORP",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294190280",
            "telephone_number": "843-569-4020",
            "fax_number": "770-237-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST",
            "address_2": "SUITE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-424-7800",
            "fax_number": "770-426-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "HANY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "032874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220020959",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531572A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "450161",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria F Bird, PH.D.
• Jana Birdseye
• Valeriya Sergeyevna Birdseye
• Susan Bironga
• Birthing Way Midwifery LLC
• John Farid Bishara, DDS
• Brittany Stokes Bishop, MED CCC-SLP
• Chelsea Bishop
• Latoya Bishop, RBT
• Navi De'Ahvion Bishop

• Anatomic Pathology & Clinical Pathology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.