Active NPI
Elliott and Wargotz Pathologists, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Lanham, MD
National Provider Identifier
1023056736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- ELLIOTT AND WARGOTZ PATHOLOGISTS, LLC
- Practice address
- 8118 Good Luck Rd
Lanham, MD 20706-3595 - Phone
- (301) 552-8118
- Fax
- (301) 498-3074
- NPI assigned
- Jun 3, 2006
- Last updated
- Jun 1, 2020
- 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
- Dr. Eric Wargotz, M.D.
- Title
- Owner
- Phone
- (301) 552-8118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
8118 Good Luck Rd
Lanham, MD 20706-3595
Mailing address
PO Box 1258
Laurel, MD 20725-1258
Phone (301) 498-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175700800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lanham, MD
- NPI 1366702599
DC
-
- Anatomic Pathology & Clinical Pathology Physician
- Baltimore, MD
- NPI 1992735740
-
- Anatomic Pathology & Clinical Pathology Physician
- Washington, DC
- NPI 1669588026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590969600000",
"number": "1023056736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "LAUREL",
"state": "MD",
"postal_code": "207251258",
"telephone_number": "301-498-2922",
"fax_number": "301-498-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 GOOD LUCK RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063595",
"telephone_number": "301-552-8118",
"fax_number": "301-498-3074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLIOTT AND WARGOTZ PATHOLOGISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A",
"authorized_official_last_name": "WARGOTZ",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-552-8118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175700800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.