PALM BEACH PATHOLOGY, PA (NPI# 1013182492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013182492 |
| Entity Type | Organization |
| Organization Name | PALM BEACH PATHOLOGY, PA |
| Other Organization Name | JUPITER PATHOLOGY ASSOCIATES |
| Practice Address |
1210 S Old Dixie Hwy Jupiter FL 33458-7205 |
| Mailing Address |
Po Box 4117 West Palm Beach FL 33402-4117 |
| Practice Telephone | 9542409555 |
| Practice Fax Number | 7707765966 |
| Mailing Telephone | 9542409555 |
| Mailing Fax Number | 7707765966 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | DR. THOMAS A BOLTON (PRESIDENT) |
| Authorized Official Telephone | 9542409555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258264300 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 99268 | 01 |
| Other Name | Type Code |
|---|---|
| Jupiter Pathology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720253198 | Palm Beach Pathology, Pa | Pathology | 3360 Burns Rd, Palm Beach Gardens, FL 33410-4323 | 2008-04-28 |
| 1922273317 | Palm Beach Pathology, Pa | Pathology | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2008-04-25 |
| Street Address |
1210 S OLD DIXIE HWY |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972989 | Cristina Maria Pirez De Cardenas | Legal Medicine | 1210 S Old Dixie Hwy, Jupiter, FL 33458 | 2005-09-14 |
| 1679198162 | Palm Beach Nephrology Care Pllc | Internal Medicine | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2020-06-10 |
| 1114547585 | Madison Juliana Bonneville | Nurse's Aide | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2020-04-25 |
| 1447810130 | Adrienne Flemming | Nurse Practitioner | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2019-06-16 |
| 1184289258 | Shane Nanan | Nurse Anesthetist, Certified Registered | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2019-05-04 |
| 1982268363 | Julianna Dainotto | Registered Nurse | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2019-05-01 |
| 1235690868 | Benjamin Forbes Deckoff | Registered Nurse | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2019-03-27 |
| 1760953087 | Marlaina Fruggiero Cardoza | Nurse Anesthetist, Certified Registered | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2018-12-14 |
| 1689167850 | Shelby Anne Pratt | Registered Nurse | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2018-06-12 |
| 1700382710 | Kristin Weiss | Registered Nurse | 1210 S Old Dixie Hwy, Jupiter, FL 33458 | 2018-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654145 | Daniel Jacob Dolderer | Pathology | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2013-03-27 |
| 1780949222 | Julia Anne Ross | Pathology | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2012-07-11 |
| 1760781132 | Michel Betancourt | Pathology | 1210 S Old Dixie Hwy, Jupiter, FL 33458-7205 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780157321 | Richard Freij | Pathology | 9770 S Military Trl # B4-255, Boynton Beach, FL 33436-3207 | 2019-01-07 |
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1841716123 | Kritika Krishnamurthy | Pathology | 4300 Alton Rd Ste 2400, Miami Beach, FL 33140-2948 | 2017-08-17 |
| 1982154167 | Johnny Paul Hughes | Pathology | 18317 Cypress Stand Cir, Tampa, FL 33647-1816 | 2016-10-11 |
| 1154870657 | Clinical Toxicology Pa | Pathology | 10269 Sw Village Pkwy, 102, Port Saint Lucie, FL 34987-2369 | 2016-09-25 |
| 1932584281 | Nichole Allen | Pathology | 2210 Marsh View Dr Unit 104, Wesley Chapel, FL 33544-4712 | 2015-07-29 |
| 1710368501 | Archi Patel | Pathology | 18311 Highwoods Preserve Pkwy Unit 6413, Tampa, FL 33647-1925 | 2015-06-17 |
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1508278532 | Daniel Sanchez | Pathology | 7000 Sw 62nd Ave Ste 601, South Miami, FL 33143 | 2014-05-26 |
| 1508277799 | Kyle White | Pathology | 7188 Estero Dr, Lake Worth, FL 33463-5600 | 2014-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PALM BEACH PATHOLOGY, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.