Kokomo Pathologist Associates

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KOKOMO PATHOLOGIST ASSOCIATES

Practice address

1907 W Sycamore St
Kokomo, IN 46901-4113

Phone

(765) 456-5729

Fax

(765) 456-5014

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Bruce W Hughes, M.D.NPI 1306820097

Title

Director of Laboratory

Phone

(765) 456-5729

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Bruce W Hughes, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1306820097
  NPD (past) Authorized official
• Ted Bloch, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1083690960
  NPD (past)
• Douglas E Eglen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Kokomo, IN
  • NPI 1417931528
  NPD (past)
• Wei Liu, M.D.

  • Cytopathology Physician
  • Alexandria, VA
  • NPI 1477537165
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043294143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6908",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469046908",
            "telephone_number": "314-821-8055",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014113",
            "telephone_number": "765-456-5729",
            "fax_number": "765-456-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO PATHOLOGIST ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF LABORATORY",
        "authorized_official_telephone_number": "765-456-5729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "IN0006461",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "CB2274",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000083512",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPLAN",
            "identifier": "000000003339",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kokomo Implant and Oral Surgery, LLC
• Kokomo Neurological Group Inc
• Kokomo Neurology Clinic, Inc.
• Kokomo Optical Inc
• Kokomo Oral and Maxillofacial Surgery P.C.
• Kokomo Pediatric Dentistry, LLC
• Kokomo Place Assisted Living LLC
• Kokomo RCF LP
• Kokomo School Corporation
• Kokomo Sleep Center, LLC

• Clinical Medical Laboratory in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.