Organization Active NPI

Henderson Pathology & Cytopathology Services PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Henderson, KY
National Provider Identifier
1013131572
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC
Practice address
1305 N Elm St
Henderson, KY 42420
Phone
(270) 827-9701
Fax
(270) 883-1781
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
P A Corpus, MD
Title
Medical Director Pathology Services
Phone
(270) 827-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1305 N Elm St
Henderson, KY 42420

Mailing address

PO Box 934
1228 N Elm St
Henderson, KY 42420
Phone (270) 827-5399

Other identifiers 1

IdentifierTypeStateIssuer
65905382MedicaidKY

National Provider Directory

National Provider Directory

Locations

1228 N Elm St
Henderson, KY 42420
Phone (270) 685-3162

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1013131572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "address_2": "1228 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-827-5399",
            "fax_number": "270-827-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "42420",
            "telephone_number": "270-827-9701",
            "fax_number": "270-883-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "CORPUS",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR PATHOLOGY SERVICES",
        "authorized_official_telephone_number": "270-827-9701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65905382",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.