East Central Indiana Pathologists PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

01018004A Issued in IN

Legal business name

EAST CENTRAL INDIANA PATHOLOGISTS PC

Practice address

2401 W University Ave
Muncie, IN 47303-3428

Phone

(765) 741-3428

Fax

(765) 741-2905

NPI assigned

Oct 24, 2006

Last updated

Dec 17, 2007By 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

George E Branam, M.D.

Title

Ceo

Phone

(765) 747-3428

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 8

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.

• Ashley Anne Ibrahim, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1659664241
  Medicare reassignment Care Compare group
• Richard W Pearson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muncie, IN
  • NPI 1386731875
  Medicare reassignment Care Compare group
• Janet E Roepke, M.D., PH.D

  • Anatomic Pathology Physician
  • Muncie, IN
  • NPI 1326151770
  Medicare reassignment Care Compare group
• Xiaolin Wu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1598963696
  Medicare reassignment Care Compare group
• James R Baldwin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muncie, IN
  • NPI 1043393630
  NPD
• Tarik M Elsheikh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muncie, IN
  • NPI 1194812594

  Cytopathology

  NPD
• David H Soper, MD

  • Emergency Medicine Physician
  • Anderson, IN
  • NPI 1114922929

  Anatomic Pathology & Clinical Pathology

  NPD
• Her-Juing Wu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Muncie, IN
  • NPI 1700983277

  Cytopathology

  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1043394695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-3428",
            "fax_number": "765-741-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-3428",
            "fax_number": "765-741-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL INDIANA PATHOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "BRANAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-747-3428",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "IN",
            "license": "01046076A",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "IN",
            "license": "01018004A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01018004A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "000000101392",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dycora Transitional Health - Muncie LLC
• Briana Lynn Dykstra, OTR
• Alice Dyson, CCC/SLP
• Elizabeth Joan Earl
• East Central Indiana Oral and Maxillofacial Surgery, LLC
• East Central Indiana Primary Care Network (Muncie Internal Medicine)
• East Central Indiana Vascular Lab LLC
• East Central Radiology (IMAGING Center of East Central Indiana)
• Eastern Indiana Neurology, P.C.
• Matthew A Eaton, DO

• Anatomic Pathology & Clinical Pathology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.

Verify at the official NPI Registry.