MIDLAND PATHOLOGISTS, PA (NPI# 1184685513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184685513 |
| Entity Type | Organization |
| Organization Name | MIDLAND PATHOLOGISTS, PA |
| Practice Address |
400 Rosalind Redfern Grover Parkway Midland TX 79701-5846 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 4326851111 |
| Practice Fax Number | 4326832616 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | PHILLIP A CONLIN (PRESIDENT) |
| Authorized Official Telephone | 4326851111 |
| 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 |
|---|---|---|---|
| TX | 094824202 | 05 |
| Street Address |
400 ROSALIND REDFERN GROVER PARKWAY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184905895 | Melissa Ann Hicks | Physician Assistant | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| 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 |
|---|---|---|---|---|
| 1942590435 | James Brian Wendt | Pathology | 4208 E Old Pine Trl, Midland, MI 48642-8892 | 2011-04-18 |
| 1053372482 | Leena N Shroff | Pathology | 2008 W Ohio, Midland, TX 79701 | 2006-03-28 |
| 1477514800 | Phillip A Conlin | Pathology | 2200 W. Illinois Ave, Midland, TX 79701 | 2006-03-28 |
| 1891988283 | William C Klingensmith Iv | Pathology | 2200 W. Illinois Ave, Midland, TX 79701 | 2007-08-20 |
| 1447442165 | Matthew Harvey Friez | Pathology | 2200 W. Illinois Ave, Midland, TX 79707 | 2007-08-16 |
| 1982797064 | Daniel Wunderlich | Pathology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-10-02 |
| 1336232404 | John Hysell | Pathology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-10-02 |
| 1487747473 | Midland Pathology Associates, PC | Pathology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-10-02 |
| 1982713640 | Mark Bennett Hoddinott | Pathology | 4005 Orchard Dr, Mid Michigan Medical Center, Midland, MI 48670-0001 | 2006-08-29 |
| 1932160835 | Sherri Lamarr Gillham | Pathology | 2008 W Ohio, Midland, TX 79701 | 2006-03-30 |
| Find all providers in MIDLAND | ||||
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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.