PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A (NPI# 1740231471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740231471 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A |
| Practice Address |
1209 Brook Ave Wichita Falls TX 76301-5601 |
| Mailing Address |
1107 Brook Ave Wichita Falls TX 76301-5008 |
| Practice Telephone | 9403227284 |
| Practice Fax Number | 9403228938 |
| Mailing Telephone | 9403228800 |
| Mailing Fax Number | 9403228833 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | ANN YANCEY (INSURANCE SUPERVISOR) |
| Authorized Official Telephone | 9403228800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
45D0659922 | TX | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
45D0659922 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | CL0687 | 01 |
| TX | 120719304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730367541 | Pathology Associates of North Texas, P A | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2008-02-04 |
| Street Address |
1209 BROOK AVE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376545335 | David A Flack | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2005-06-02 |
| 1982963625 | Dennis Aaron Reinke | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2012-05-15 |
| 1053623421 | Allen Flack | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2010-07-13 |
| 1730367541 | Pathology Associates of North Texas, P A | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2008-02-04 |
| 1548379696 | Jose Audie Lim | Internal Medicine | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2006-08-30 |
| 1528043585 | Randolph Claude Sosolik | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2005-12-13 |
| 1700888765 | Philip G Hudkins | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2005-06-02 |
| 1750383717 | Dennis D Reinke | Pathology | 1209 Brook Ave, Wichita Falls, TX 76301-5601 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1912495086 | Vibha Bhasin | Pathology | 106 Happy Trl, Shavano Park, TX 78231-1428 | 2018-04-24 |
| 1770035545 | Texas Tech University Health Sciences Center | Pathology | 2000 Transmountain Road, El Paso, TX 79911 | 2016-10-27 |
| 1891151601 | Thomas Steven Roosth | Pathology | 5850 Rogerdale Rd., Houston, TX 77072-1602 | 2016-01-08 |
| 1619379302 | Ameer Hamza | Pathology | 1515 Holcombe Blvd # 2, Houston, TX 77030 | 2014-09-24 |
| 1861823569 | Victoria Greene | Pathology | 43 Du Pont Cir, Sugar Land, TX 77479-2522 | 2013-12-05 |
| 1417391533 | Consultative Genomics, Pllc | Pathology | 5909 West Loop South, Suite 310, Bellaire, TX 77401-2433 | 2013-04-19 |
| 1164769485 | Randall Carrol Harper | Pathology | 9702 Dove Shadow, San Antonio, TX 78230 | 2013-01-07 |
| 1659617009 | Adg Houston Path Pllc | Pathology | 2525 W Bellfort Ave Ste 194, Houston, TX 77054-5099 | 2012-12-12 |
| 1457629503 | R Lee Ennis Md Pa | Pathology | 2402 W Morton Ste 146, Denison, TX 75020 | 2011-12-05 |
| 1457654170 | Samuel A Maxey | Pathology | 2604 Waterford Dr, Irving, TX 75063-3186 | 2010-12-20 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on PATHOLOGY ASSOCIATES OF NORTH TEXAS, P A.
| 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.