ASHLAND PATHOLOGY SERVICES SC (NPI# 1063423846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063423846 |
| Entity Type | Organization |
| Organization Name | ASHLAND PATHOLOGY SERVICES SC |
| Practice Address |
1615 Maple Ln Ashland WI 54806-3610 |
| Mailing Address |
3410 Stanley St P.o. Box 108 Stevens Point WI 54481-1325 |
| Practice Telephone | 7156855440 |
| Mailing Telephone | 7153441234 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEITH A HENRY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7156855440 |
| Authorized Official Credential | M.D. |
| 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 |
| Street Address |
1615 MAPLE LN |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973508 | Laura K Fortner | Specialist | 1615 Maple Ln, Suite 1, Ashland, WI 54806-3610 | 2005-09-27 |
| 1679185029 | Jacqueline Marie Grimm | Social Worker | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-08-18 |
| 1669097358 | Kelsey E Larson | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2020-06-09 |
| 1003440967 | Barbara E Jusula | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3626 | 2020-02-28 |
| 1841853611 | Paul Michael Kasper | Physician Assistant | 1615 Maple Ln, Ashland, WI 54806-3626 | 2019-04-17 |
| 1770047235 | Ashley Elizabeth Runge | Dietitian, Registered | 1615 Maple Ln, Ashland, WI 54806-3689 | 2019-01-29 |
| 1093220089 | Thomas William Jorgensen | Nurse Anesthetist, Certified Registered | 1615 Maple Ln, Ashland, WI 54806-3626 | 2017-12-12 |
| 1033664719 | Melissa Jean Malmberg | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2016-08-23 |
| 1922488279 | Jenelle Elza | Registered Nurse | 1615 Maple Ln, Ashland, WI 54806-3610 | 2015-06-02 |
| 1811329006 | David L Mischel | Nurse Practitioner | 1615 Maple Ln, Ashland, WI 54806-3610 | 2013-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
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| 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 |
|---|---|---|---|---|
| 1447447131 | Alka Uppal Khanna | Pathology | 3900 Southern Hills Dr, Ashland, KY 41102-7402 | 2007-09-26 |
| 1639219009 | Malisha Ratliff Johnson | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2007-02-07 |
| 1821010034 | James R Morris | Pathology | 1000 Saint Christopher Dr, Pathology Dept, Ashland, KY 41101-7034 | 2006-07-24 |
| 1730101940 | Gabriel A Rodriguez | Pathology | 1000 Saint Christopher Dr, Pathology Dept, Ashland, KY 41101-7034 | 2006-07-24 |
| 1578589685 | Bellefonte Pathology and Laboratory Medicine Psc | Pathology | 1000 Saint Christopher Dr, Pathology Dept, Ashland, KY 41101-7034 | 2006-07-14 |
| 1326014861 | Linda A Eskew | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2006-02-24 |
| 1063488559 | Shamsa Haroon | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2006-02-24 |
| 1376519801 | Professional Pathology Service | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2006-02-24 |
| 1417923806 | Katalin Z Kovacs | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2006-02-24 |
| 1821076704 | Diane M Pierson | Pathology | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2006-01-03 |
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| 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.