Organization Active NPI

Latulippe Pathology P a

  • Anatomic Pathology Physician
  • E Liverpool, OH
National Provider Identifier
1063474724
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
35077781 Issued in OH
Legal business name
LATULIPPE PATHOLOGY P A
Practice address
425 W 5TH Street
E Liverpool, OH 43920
Phone
(330) 385-7200
NPI assigned
Apr 6, 2006
Last updated
Jul 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Steven E Latulippe, MDNPI 1609967793
Title
Owner
Phone
(330) 385-7200

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)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 35077781 OH Primary

Addresses

Primary practice location

425 W 5TH Street
E Liverpool, OH 43920

Mailing address

PO Box 5254
Poland, OH 44514-0254
Phone (330) 520-2221

Other identifiers 1

IdentifierTypeStateIssuer
2187682MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080114000634 OH Part B Supplier - Clinic/Group Practice 2264513472 Receives reassigned benefits from 1 practitioner
Practice locations: East Liverpool, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1063474724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5254",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140254",
            "telephone_number": "330-520-2221",
            "fax_number": "330-776-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH STREET",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-385-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATULIPPE PATHOLOGY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "LATULIPPE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-385-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35077781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.