PATHOLOGY ASSOCIATES (NPI# 1154393858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393858 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY ASSOCIATES |
| Practice Address |
250 Mercy Dr Room G211 Dubuque IA 52004-0731 |
| Mailing Address |
250 Mercy Dr P O Box 731 Dubuque IA 52004-0731 |
| Practice Telephone | 5635562012 |
| Practice Fax Number | 5635560986 |
| Mailing Telephone | 5635562012 |
| Mailing Fax Number | 5635560986 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2017-01-20 |
| Authorized Official Name | CHRISTOPHER J LEIGH (TREASURER) |
| Authorized Official Telephone | 5635898614 |
| 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 |
IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS IOWA PROVIDER GROUP | 16123 | 01 |
| WI | 32695400 | 05 | |
| IA | 0161232 | 05 | |
| IA | RAILROAD MEDICARE | CO1425 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144277633 | Pathology Associates | Pathology | 305 Park Creek Dr, Clovis, CA 93611-4426 | 2006-05-28 |
| 1295871812 | Pathology Associates | Pathology | 1007 Goodyear Ave, Gadsden Regional Medical Center, Gadsden, AL 35903-1195 | 2007-01-30 |
| 1255440103 | Pathology Associates | Pathology | 309 Jackson St, Monroe, LA 71201-7407 | 2006-08-30 |
| 1972612828 | Pathology Associates | Clinical Medical Laboratory | 2801 Debarr Rd, Dept of Pathology, Anchorage, AK 99508-2932 | 2006-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PATHOLOGY ASSOCIATES | 305 Park Creek Dr, Clovis, CA 93611-4426 |
| North Carolina Corporations | Pathology Associates Inc. | 7d Booker Creek Apts, Chapel Hill, NC 00000 |
| Connecticut Business Registrations | PATHOLOGY ASSOCIATES INTERNATIONAL CORPORATION | 251 Ballardvale Street, Wilmington, MA 01887 |
| Oregon Corporations, Companies and Business Names | PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC | 611 N Iron Bridge Way, Spokane, WA 99202 |
| Washington State Corporations | PATHOLOGY ASSOCIATES MEDICAL LABORATORIES, LLC | 358 S Main St, Burlington, NC 27215-5837 |
| Iowa Business Entities | PATHOLOGY ASSOCIATES OF CENTRAL IOWA, PLC. | 1111 6th Ave, Des Moines, IA 50314 |
| Virginia Business Entities | PATHOLOGY ASSOCIATES OF HARRISONBURG P.C. | 2010 Health Campus Dr, Harrisonburg, Virginia 22801 |
| Iowa Business Entities | PATHOLOGY ASSOCIATES OF MASON CITY, P.L.C. | 1000 4th St Sw, Mason City, IA 50401 |
| Massachusetts Corporations | PATHOLOGY ASSOCIATES OF NORWOOD, P.C. | 1342 Belmont Street, Suite 205, Brockton, MA 02301 |
| Virginia Business Entities | PATHOLOGY ASSOCIATES OF SOUTHWESTERN VIRGINIA INC. | 200 Hospital Dr, Galax, Virginia 24333 |
| Street Address |
250 MERCY DR ROOM G211 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52004-0731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293220 | Stephen Michael Clifford | Radiology | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2005-08-23 |
| 1245846682 | Mercy Health Services-iowa, Corp | Clinical Medical Laboratory | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-09-21 |
| 1972118578 | Brett Becker | Pharmacist | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-09-10 |
| 1205465473 | Erin Bailey | Pharmacist | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2020-04-08 |
| 1295211761 | Ashley Marie Biedermann | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2018-07-17 |
| 1487171526 | Martha Levy | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-08-29 |
| 1508386160 | Christopher Edward Little | Family Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-06-26 |
| 1235669995 | Nathaniel William Rojemann | Nurse Practitioner | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2017-06-15 |
| 1306397401 | Rocky Mountain Holdings, LLC | Ambulance | 250 Mercy Dr, Dubuque, IA 52001 | 2016-10-24 |
| 1881040269 | Frederick Osborne Liaboe | Emergency Medicine | 250 Mercy Dr, Dubuque, IA 52001-7320 | 2016-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063731644 | Michelle Kurt-mangold | Pathology | 250 Mercy Drive, Rm G211, Dubuque, IA 52004-0731 | 2010-05-22 |
| 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 |
|---|---|---|---|---|
| 1093925679 | Andrew D Vanderheyden | Pathology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2007-05-23 |
| 1841262573 | Paul G. Ellerbeck | Pathology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-02-06 |
| 1649242389 | John A. Brennan | Pathology | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378749 | Nathanael Cook Christensen | Pathology | 200 Hawkins Dr Dept of Pathology, Iowa City, IA 52242-1009 | 2020-05-21 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1306165816 | Natalie Jeanne Matics | Pathology | 502 Grant St, Iowa City, IA 52240-6224 | 2010-05-24 |
| 1447485966 | Joshua Benjamin Cook | Pathology | 1212 Pleasant St., Room Ll3, Des Moines, IA 50309-0000 | 2009-05-28 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1386800589 | Alexander Ervanian | Pathology | 1607 Thornwood Rd, West Des Moines, IA 50265-5341 | 2008-08-06 |
| 1073725602 | Richard Frederick Fiester | Pathology | 5531 Hickorywood Ct, Cedar Rapids, IA 52411-8043 | 2007-05-04 |
| 1629158688 | Sara M Shunkwiler | Pathology | 431 E Locust St, Des Moines, IA 50309-1909 | 2006-10-16 |
| 1801982731 | Pathlab Ltd. | Pathology | 933 East Pierce St., Council Bluffs, IA 51503 | 2006-10-05 |
| 1467563619 | Herman Henry Graefe | Pathology | 1212 Pleasant #ll3, Des Moines, IA 50309-1414 | 2006-08-31 |
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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.