Eastern Pathology

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EASTERN PATHOLOGY

Practice address

94 Brookshire LN
Beckley, WV 25801-6765

Phone

(304) 252-2673

Fax

(304) 929-2350

NPI assigned

Jul 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nelson E Velazquez, DONPI 1730189747

Title

Sole Owner

Phone

(304) 252-2673

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nelson E. Velazquez, DO

  • Dermatology Physician
  • Beckley, WV
  • NPI 1730189747
  NPD Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1043566086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016909",
            "telephone_number": "540-504-0066",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016765",
            "telephone_number": "304-252-2673",
            "fax_number": "304-929-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "304-252-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910001297",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Andrew Dzara, PHARMD
• E J Salon MD Inc
• Anita L Eades, APRN ,BC
• Alysa Nichole Eagle
• Laura Beth Eary, LGSW, MSW
• Sabrina Suzanne Eastham, BSW, LSW
• Douglass Eaves
• Pam Echols
• Brett Eckley, D.D.S.,M.S.
• L. Edward Eckley, D.D.S.,M.S.

• Clinical Medical Laboratory in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Medical Laboratory in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.