BAYLOR PATHOLOGY (NPI# 1790711232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711232 |
| Entity Type | Organization |
| Organization Name | BAYLOR PATHOLOGY |
| Practice Address |
2555 Jimmy Johnson Blvd Port Arthur TX 77640-2007 |
| Mailing Address |
Po Box 4389 Houston TX 77210-4389 |
| Practice Telephone | 4097247389 |
| Mailing Telephone | 7137984661 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-01-08 |
| Authorized Official Name | DAVID TITUS (SENIOR DIRECTOR OPERATIONS) |
| Authorized Official Telephone | 7137984661 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114032737 | Baylor Pathology | Specialist | 1 Baylor Plz Rm 286a, Houston, TX 77030-3411 | 2006-08-21 |
| 1093741118 | Baylor Pathology | Pathology | 700 East Marshall Avenue, Longview, TX 75601 | 2006-06-23 |
| 1386723658 | Baylor Pathology | Pathology | One Baylor Plaza, Room 286a, Houston, TX 77030-3411 | 2006-11-06 |
| Street Address |
2555 JIMMY JOHNSON BLVD |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861467573 | The Medical Center of Southeast Texas Lp | Clinic/Center | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-02-17 |
| 1265046726 | Sharonda Renee Mouton | Social Worker | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-09-02 |
| 1164031258 | Julie Vuong Tran | Registered Nurse | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-07-24 |
| 1639798374 | Diem Vo | Student in an Organized Health Care Education/Training Program | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2020-04-13 |
| 1447731955 | Donna Larkins Mitchell | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-08-23 |
| 1598252413 | Jennifer Ann Wilson | Specialist/Technologist, Other | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-04-16 |
| 1598264616 | Connor Patrick O'shaughnessy | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-02-04 |
| 1093213555 | Stephanie Rae Dodson | Dietitian, Registered | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640 | 2018-01-30 |
| 1447767819 | Shannon Huebel Keith | Nurse Practitioner | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2018-01-06 |
| 1598271405 | Millennium Neonatolgy Pllc | Pediatrics | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2017-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| 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 |
|---|---|---|---|---|
| 1992816466 | Thomas J Molina | Pathology | 3820 Highway 365 Ste 400, Port Arthur, TX 77642-7565 | 2006-08-31 |
| 1811966310 | Port Arthur Pathology Association | Pathology | 3600 Gates Blvd, Port Arthur, TX 77642 | 2006-03-16 |
| 1598885204 | Masterpath Pathology Consultants | Pathology | 3820 Highway 365 Ste 400, Port Arthur, TX 77642-7565 | 2007-03-29 |
| 1932210846 | James Thomas Molina | Pathology | 3820 Highway 365 Ste 400, Port Arthur, TX 77642-7565 | 2006-08-31 |
| 1801813704 | Marisa Rivera Lanuza | Pathology | 3820 Highway 365, Ste 400, Port Arthur, TX 77642 | 2006-07-16 |
| 1124056981 | Frank Andrew Krull | Pathology | 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640-2007 | 2006-06-29 |
| 1831150804 | Stanley Bruce Archer | Pathology | 3600 Gates Blvd, Port Arthur, TX 77642 | 2006-03-30 |
| 1316906449 | John Harlan Stewart | Pathology | 3600 Gates Blvd, Port Arthur, TX 77642 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922235 | Pathology Institute, Pllc | Pathology | 3201 University Dr E Ste 330, Bryan, TX 77802-3484 | 2020-11-04 |
| 1649893900 | Medical Service Consultation Pa | Pathology | 2613 Sir Percival Ln, Lewisville, TX 75056-5710 | 2020-05-21 |
| 1578196358 | Carlos M Torres Md Expert Pathology Consultation Servi | Pathology | 2840 Keller Springs Rd Ste 1104, Carrollton, TX 75006-4876 | 2020-02-19 |
| 1023654191 | Marsha L Eigenbrodt | Pathology | 860 Junction Dr Apt 344, Allen, TX 75013-5244 | 2019-11-22 |
| 1184274508 | Pathzone LLC | Pathology | 11215 Oudney Ct, Richmond, TX 77407-1883 | 2019-09-17 |
| 1184285587 | Vipulkumar P Prajapati | Pathology | 7323 Snowden Rd Apt 3206, San Antonio, TX 78240 | 2019-06-26 |
| 1548793409 | Grant Williams | Pathology | 3551 Roger Brooke Dr # Tx, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2017-04-07 |
| 1417307448 | James Gaulding | Pathology | 19 Robledo Dr, Dallas, TX 75230-3055 | 2016-06-21 |
| 1386006492 | Audra Robinson | Pathology | 5417 Ridgepass Ln, Mckinney, TX 75071-3082 | 2016-03-28 |
| 1760840730 | Peachy Ridgway Gilmer Jr. | Pathology | 35 Tiel Way, Houston, TX 77019-1509 | 2016-02-05 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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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.