Baylor Pathology Consultants

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BAYLOR PATHOLOGY CONSULTANTS

Doing business as

Baylor College of Medicine

Practice address

2501 Jimmy Johnson Blvd
Suite 208
Port Arthur, TX 77640-2000

Phone

(409) 983-4951

NPI assigned

Jul 23, 2007

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David M Titus

Title

Director

Phone

(713) 481-3544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Baylor College of Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baylor College of Medicine

  dba Baylor Pathology Consultants

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1609850445

  O20071214000581

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1003016577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4698",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104698",
            "telephone_number": "713-481-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 208",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "409-983-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR PATHOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-481-3544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "45D1061150",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor College of Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Scott Bartlett, DDS
• Kenneth King Barton, DDS
• Waleed Bassa, DMD
• Carol A. Batty, M.D.
• Baylor Pathology
• Beach Bay and Tackle LLC Dba Home Care Provider Service (Home Care Provider Service)
• Eric Bruce Beal, D.C.
• Nicholas Benjamin Beamon
• Bean Development, LLC
• Carl Joseph Beaudry, M.D.

• Clinical Medical Laboratory in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.