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https://wds.dataharborsolutions.com/abpathorg/MOCEval/MOCEvalMain.aspx?ItemKey=116914e8-dcde-4a6d-b60a-8ed388ec9dfd
Submission: On November 17 via manual from US — Scanned from DE
Submission: On November 17 via manual from US — Scanned from DE
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<blockquote> WEB SITE<br>
<a href="http://www.abpath.org">www.abpath.org</a>
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<blockquote> EXPRESS MAIL ADDRESS<br> One Urban Centre, Suite 690<br> 4830 West Kennedy Boulevard<br> Tampa, Florida 33609-2571 </blockquote>
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<h2 style="font-size: 18pt;"> Maintenance of Certification Evaluation Form</h2> for<br>
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<p id="ctl00_ContentPlace_Main_EvaluatorTypeParagraph" style="width: 80%; text-align: left">Your name was given by the above pathologist as an individual who can attest to his/her ability and effectiveness in practice. By completing the
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<span id="ctl00_ContentPlace_Main_LabelEvaluatorFullName">Your Name:</span> <span id="ctl00_ContentPlace_Main_EvaluatorFullName" class="Strong">Nick Mikas</span>
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<span id="ctl00_ContentPlace_Main_LabelEvaluatorEmail">Your E-mail Address:</span> <span id="ctl00_ContentPlace_Main_EvaluatorEmail" class="Strong">nick.mickas_md@johnmuirhealth.com</span>
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<div id="ctl00_ContentPlace_Main_TechNotice" style="margin-top: 10px; margin-bottom: 20px; text-align: center; width: 100%">If you have any questions or comments, please contact <a href="mailto:cc@abpath.org">cc@abpath.org</a>.</div>
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</form>Text Content
> WEB SITE > www.abpath.org > EXPRESS MAIL ADDRESS > One Urban Centre, Suite 690 > 4830 West Kennedy Boulevard > Tampa, Florida 33609-2571 MAINTENANCE OF CERTIFICATION EVALUATION FORM for Nicholas Patrick Byrne Your name was given by the above pathologist as an individual who can attest to his/her ability and effectiveness in practice. By completing the information below, you agree that you are the Chief Medical Officer, Chief of the Medical Staff, Department Chair, Chair of the Credentials Committee or Designee, or equivalent of the primary health care facility where he/she practices. 1. Your Name: Nick Mikas 2. Your E-mail Address: nick.mickas_md@johnmuirhealth.com 3. I attest that Dr. Nicholas Patrick Byrne is a credentialed current member of our medical staff in good standing. YesNo 4. Please make any additional comments on this physician's performance in regard to the six ABMS competencies (Patient Care, Medical Knowledge, Interpersonal and Communications Skills, Professionalism, Systems Based Practice, Practice Based Learning and Improvement). (Exceeds character limit) (Please limit entry to 255 characters or less!) If you have any questions or comments, please contact cc@abpath.org.