Palm Beach Pathology, PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PALM BEACH PATHOLOGY, PA

Doing business as

Jupiter Pathology Associates

Practice address

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

Phone

(954) 240-9555

Fax

(770) 776-5966

NPI assigned

Apr 25, 2008

Last updated

Aug 8, 2008By 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

Dr. Thomas A Bolton, MD

Title

President

Phone

(954) 240-9555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jupiter Pathology Associates Doing business as

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1013182492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334024117",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587205",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-240-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99268",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258264300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Palm Beach Institute of Plastic and Reconstructive Surgery
• Palm Beach Integrative Rheumatology Inc (Palm Beach Rheumatology & Wellness)
• Palm Beach Joint Replacement PLLC
• Palm Beach Nephrology Care PLLC
• Palm Beach Orthopaedic Institute PA
• Palm Beach Plastic Surgery PA
• Palm Beach Vascular & Vein Associates LLC
• Palm Beach Vascular and Wound Care PA
• Palm Pain Management, LLC
• Pam Rehabilitation Hospital of Jupiter LLC

• Anatomic Pathology & Clinical Pathology Physician in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.