DIAGNOSTIC PATHOLOGY SERVICES, INC (NPI# 1578823365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823365 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC PATHOLOGY SERVICES, INC |
| Practice Address |
149 Drinkwater Rd Bay St Louis MS 39520-1658 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 2284678600 |
| Practice Fax Number | 4198665453 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | DR. DANE SANDQUIST (PRESIDENT) |
| Authorized Official Telephone | 2284678600 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIAGNOSTIC PATHOLOGY SERVICES, INC. | 4300 E Flamingo Ave, Nampa, ID 83687-3138 |
| Oregon Corporations, Companies and Business Names | DIAGNOSTIC PATHOLOGY SERVICES, INC. | 4300 E Flamingo Ave, Nampa, ID 83687 |
| Street Address |
149 DRINKWATER RD |
| City | BAY ST LOUIS |
| State | MS |
| Zip Code | 39520-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349401 | Brian Thomas Anthony | Surgery | 149 Drinkwater Rd, 2nd Floor, Bay St Louis, MS 39520-1658 | 2005-07-12 |
| 1942798301 | Miranda Reeves | Nurse Practitioner | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2018-05-01 |
| 1396199840 | Vineeth-joseph John Sankoorikal | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520 | 2016-04-21 |
| 1962856419 | Sahiba Ahluwalia | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2016-04-21 |
| 1194188722 | Jessica Lynn Douglas | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2016-03-31 |
| 1295142396 | Hancock Emergency Group LLC | Physician Assistant | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2014-07-21 |
| 1174941553 | Sandra Smith Trumbach | Nurse Practitioner | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2014-04-02 |
| 1538583133 | Ochsner Clinic LLC | General Practice | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2014-02-18 |
| 1609149392 | Denise Daigle | Nurse Practitioner | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2012-02-11 |
| 1013204742 | Andrew Blaine Adams | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470568 | Michael Stephens | Student in an Organized Health Care Education/Training Program | 236 Eighth Street, Bay Saint Louis, MS 39520 | 2020-09-06 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1134404809 | Hancock Chiropractic LLC | Chiropractor | 806 Hwy 90, Bay St. Louis, MS 39520 | 2011-10-13 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1639352123 | Joyce Deloris Buie | Nurse Practitioner | 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 | 2007-12-07 |
| 1336346451 | Ochsner Medical Center - Hancock LLC | Clinic/Center | 3068 Port and Harbor Dr, Bay St Louis, MS 39520 | 2007-07-02 |
| 1043437684 | The Beach Surgical Group | Clinic/Center | 952 Green Meadow Rd., Bay St Louis, MS 39520 | 2007-04-18 |
| Find all providers in zip 39520 | ||||
| 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 |
|---|---|---|---|---|
| 1114910148 | John D Rutherford IIi | Pathology | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356497416 | Jerry Pascall Moore | Pathology | 146 Road 83, Tupelo, MS 38801-6971 | 2007-01-25 |
| 1477601177 | Forrest County General Hospital | Pathology | 300 S 29th Ave, Hattiesburg, MS 39401-7127 | 2007-01-08 |
| 1417027376 | Brad Elliot Wheeler | Pathology | 300 Fisher Street, Biloxi, MS 39534 | 2006-11-08 |
| 1003904012 | Susan Strong Cannon | Pathology | 15 Summer Trace Blvd, Laurel, MS 39440-2510 | 2006-10-11 |
| 1386738920 | Celeste Lois Cook-glenn | Pathology | 413 Audubon Ct, Madison, MS 39110-6910 | 2006-10-03 |
| 1497849533 | Midsouth Pathology Associates | Pathology | 105 Lower Woodville Rd, Natchez, MS 39120 | 2006-10-03 |
| 1780787143 | Lisa Chandler | Pathology | 1207 Office Park Dr., Suite A, Oxford, MS 38655 | 2006-09-07 |
| 1215049929 | Clay Broders Calcote | Pathology | 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-08-31 |
| 1548206501 | James W Lewis | Pathology | 123 Main St N, Amory, MS 38821-3416 | 2006-06-20 |
| 1174565469 | Vettaikorumakankav V Vedanarayanan | Pathology | 401 Baptist Dr Ste 301, Madison, MS 39110-2012 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
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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.