CONSULTANT PATHOLOGY SERVICE, INC. (NPI# 1760587752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760587752 |
| Entity Type | Organization |
| Organization Name | CONSULTANT PATHOLOGY SERVICE, INC. |
| Practice Address |
1141 Whitney Ave # 3 Gretna LA 70056-5011 |
| Mailing Address |
Po Box 1907 Gretna LA 70054-1907 |
| Practice Telephone | 5043613757 |
| Practice Fax Number | 5043613132 |
| Mailing Telephone | 5043613757 |
| Mailing Fax Number | 5043613132 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | DR. KENNETH B FARRIS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 5043613757 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians | ||
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015045 | 05 | |
| LA | 1131300 | 05 |
| Street Address |
1141 WHITNEY AVE # 3 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144325127 | Jrs Pathology LLC | Pathology | 1141 Whitney Ave # 3, Gretna, LA 70056-5011 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043368723 | William Paul Long | Pathology | 1141 Whitney Ave, Building 3, Gretna, LA 70056-5011 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929922 | Pamela C Martin | Pathology | 1401 Foucher Street, New Orleans, LA 70115-3515 | 2005-08-18 |
| 1871912170 | Jeremy Atkinson | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2014-04-15 |
| 1447593025 | Chunhui Yi | Pathology | 180 W Esplanade Ave, Kenner, LA 70065 | 2013-04-01 |
| 1366763245 | Todd M. Leleux, Md Apm LLC | Pathology | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-06-15 |
| 1063731040 | Michael Peng-wei Lee | Pathology | 3715 Prytania St, New Orleans, LA 70115-3761 | 2010-05-29 |
| 1881917433 | Todd M Leleux | Pathology | 806 North Avenue K, Suite 101, Crowley, LA 70526 | 2010-03-10 |
| 1982845277 | Chrissy Veillon Lalonde | Pathology | 1268 Attakapas Dr, Suite 102, Opelousas, LA 70570-6515 | 2009-03-16 |
| 1093906422 | Nicholas Alexander Whitling | Pathology | 1430 Tulane Ave, Sl79, New Orleans, LA 70112-2632 | 2007-08-09 |
| 1619969136 | Richard H Marshall | Pathology | 1401 Foucher Street, New Orleans, LA 70115-3515 | 2005-08-19 |
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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.