SUMMIT PATHOLOGY (NPI# 1164020715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164020715 |
| Entity Type | Organization |
| Organization Name | SUMMIT PATHOLOGY |
| Practice Address |
2301 House Ave Ste 108 Cheyenne WY 82001-3177 |
| Mailing Address |
Po Box 913258 Denver CO 80291-3258 |
| Practice Telephone | 3072743057 |
| Mailing Telephone | 9702120530 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | JEFF CHRISTINSON (CEO) |
| Authorized Official Telephone | 9702120557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207ZH0000X |
Pathology Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912966458 | Summit Pathology | Pathology | 5802 Wright Dr, Loveland, CO 80538-8806 | 2006-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SUMMIT PATHOLOGY | 5802 Wright Dr, Loveland, CO 80538-8806 |
| Colorado Business Entities | Summit Pathology PLLP | 5802 Wright Drive, Loveland, CO 80538 |
| Virginia Business Entities | Summit Pathology Services PLLC | 21272 Highland Ridge Ln, Paris, Virginia 20130 |
| Street Address |
2301 HOUSE AVE STE 108 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790721306 | Ron W Waeckerlin | Pathology | 2301 House Ave Ste 108, Cheyenne, WY 82001-3177 | 2006-06-21 |
| 1386743169 | Anapath Diagnostics, Inc | Clinical Medical Laboratory | 2301 House Ave Ste 108, Cheyenne, WY 82001-3177 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| 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 |
|---|---|---|---|---|
| 1740521665 | Thomas Victor Toft | Pathology | 809 Mylar Park Dr, Cheyenne, WY 82009-4779 | 2013-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043615388 | Edward Daniel Hobart Jr. | Pathology | 80 Blacktooth Road, Big Horn, WY 82833-0625 | 2014-10-29 |
| 1689736514 | Linda Ann Yost | Pathology | 3034 Nob Hill Dr, Casper, WY 82601-5302 | 2006-12-15 |
| 1437144532 | David Felix Sowada | Pathology | 413 Agate St, Rock Springs, WY 82901-6704 | 2005-09-14 |
| 1376537845 | Cielette M Karn | Pathology | 1200 College Dr, Rock Springs, WY 82901-5868 | 2005-09-09 |
| 1447516240 | Brian Menkhaus | Pathology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2012-04-05 |
| 1922378744 | Rebecca Briley Thompson | Pathology | 1401 W 5th St, Sheridan, WY 82801-2705 | 2012-01-10 |
| 1801181730 | Professional Pathology of Wyoming | Pathology | 1233 E 2nd St, Casper, WY 82601-2926 | 2011-06-20 |
| 1174858302 | Riverton Physician Practices LLC | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2009-10-06 |
| 1659526606 | Cielette M Karn, Md | Pathology | 2100 W Sunset Dr, Riverton, WY 82501-2274 | 2008-11-18 |
| 1558550111 | Elizabeth H Taub | Pathology | 1233 E 2nd St, Casper, WY 82601-2926 | 2007-10-19 |
| Find all providers with the same taxonomy | ||||
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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.