Active NPI
Henderson Pathology & Cytopathology Services PSC
- Anatomic Pathology & Clinical Pathology Physician
- Henderson, KY
National Provider Identifier
1013131572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65905382 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
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.