PATHOLOGY ASSOCIATES, PC (NPI# 1780689448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780689448 |
| Entity Type | Organization |
| Organization Name | PATHOLOGY ASSOCIATES, PC |
| Practice Address |
10010 Kennerly Road St. Louis MO 63128-2106 |
| Mailing Address |
5700 Southwyck Blvd Toledo OH 43614-1509 |
| Practice Telephone | 3145254768 |
| Practice Fax Number | 3145254354 |
| Mailing Telephone | 8002888325 |
| Mailing Fax Number | 4198665453 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | VERONICA SOTOS (PRESIDENT) |
| Authorized Official Telephone | 3145251144 |
| 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 |
|---|---|---|---|
| RAILROAD MEDICARE | CG4545 | 01 | |
| MO | GHP PIN | 31069 | 01 |
| MO | BCBS MO PIN | 123263 | 01 |
| MO | HEALTHCARE USA PIN | 18289 | 01 |
| MO | CMR PIN | 31069 | 01 |
| MO | 502180409 | 05 | |
| MO | ADVANTRA PIN | 31069 | 01 |
| MO | HEALTHLINK PIN | 459637 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366460271 | Pathology Associates, PC | Pathology | 300 Central Ave, East Orange, NJ 07018-2819 | 2006-07-18 |
| Street Address |
10010 KENNERLY ROAD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891888350 | Judith Arline Schmitt | Dietitian, Registered | 10010 Kennerly Road, St. Louis, MO 63128 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1700430121 | Garland Michael Upchurch | Pathology | Washington University Som Department of Pathology, 660 S Euclid Avenue, Cb 8118, St. Louis, MO 63110-1010 | 2019-07-25 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1437539756 | Juan Kang | Pathology | 12939 Banyan Town Dr., St. Louis, MO 63146 | 2015-06-02 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1730526500 | Parker Callaway Wilson | Pathology | 660. S Euclid Ave Cb 8118, Department of Pathology, St. Louis, MO 63110-6311 | 2013-06-03 |
| 1760758536 | Roman L Patrick Jr. | Pathology | 13109 Fourposter Ct, St. Louis, MO 63146 | 2012-03-27 |
| 1255426748 | Aloo Tehmton Mistry | Pathology | 13446 Thornhill Drive, St. Louis, MO 63131-1626 | 2006-10-03 |
| 1912203118 | Matthew D Poeschl | Pathology | 615 S. New Ballas Rd, St. Louis, MO 63141 | 2011-02-04 |
| 1407166101 | Caitlin Gayle Andrews | Pathology | 660 South Euclid Ave, Campus Box 8118, St. Louis, MO 63110 | 2010-10-15 |
| 1982915336 | Xueli Hao | Pathology | 615 S. New Ballas Road, St. Louis, MD 63141 | 2010-06-30 |
| Find all providers in ST. LOUIS | ||||
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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.