Pathology Associates of Fredericksburg PTR

Organization Active NPI Anatomic Pathology Physician · Fredericksburg, VA

NPI 1033150982 · NPPES record last updated May 3, 2019

Key facts

NPI
1033150982
Entity type
Organization (NPI type 2)
Primary specialty
Anatomic Pathology Physician 207ZP0101X
Legal business name
PATHOLOGY ASSOCIATES OF FREDERICKSBURG PTR
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-1168
Fax
(540) 741-1422
NPI assigned
Jun 10, 2006
Organization subpart
No

Authorized official

Name
Paul F Hine, MD
Title
Managing Partner
Phone
(540) 741-1130

Practitioners 199

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 199

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041229000164 VA Part B Supplier - Clinic/Group Practice 1052379690 Receives reassigned benefits from 6 practitioners
Practice locations: Fredericksburg, VA; Stafford, VA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207ZP0101X Yes

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

1001 Sam Perry Blvd
Mary Washington Hospital
Fredericksburg, VA 22401-4453
Phone (540) 741-1130

Other identifiers

IdentifierTypeStateIssuer
007031OtherVABCBS

Other providers in Fredericksburg, VA

All providers in Fredericksburg, VA · Anatomic Pathology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.