Active NPI
Interventional Pathology of Ohio LLC
- Anatomic Pathology & Clinical Pathology Physician
- Kettering, OH
National Provider Identifier
1063870699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35.089844
- Legal business name
- INTERVENTIONAL PATHOLOGY OF OHIO LLC
- Practice address
- 580 Lincoln Park Blvd
344
Kettering, OH 45429-3474 - Phone
- (937) 825-0274
- NPI assigned
- Feb 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin McCalip, MD
- Title
- Owner
- Phone
- (937) 825-0274
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.089844 | OH | Primary |
Addresses
Primary practice location
580 Lincoln Park Blvd
344
Kettering, OH 45429-3474
Mailing address
9834 Business Way
Manassas, VA 20110-4151
Phone (703) 257-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2775804 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dayton, OH
- NPI 1649472663
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, OH
- NPI 1659356244
-
- Psychiatric/Mental Health Nurse Practitioner
- Kettering, OH
- NPI 1467451930
-
- Psychiatric/Mental Health Nurse Practitioner
- Kettering, OH
- NPI 1477923423
-
- Psychiatric/Mental Health Nurse Practitioner
- Englewood, OH
- NPI 1790834265
Multi-Specialty
-
- Family Nurse Practitioner
- Dayton, OH
- NPI 1538932439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1063870699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9834 BUSINESS WAY",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104151",
"telephone_number": "703-257-1440",
"fax_number": "703-257-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 LINCOLN PARK BLVD",
"address_2": "344",
"city": "KETTERING",
"state": "OH",
"postal_code": "454293474",
"telephone_number": "937-825-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PATHOLOGY OF OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-10",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "MCCALIP",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-825-0274",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.089844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2775804",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
- Kevin Michael Innes, CRNA, APRN
- Internal Medicine Associates, Inc (RN First Assistant)
- Internal Medicine Associates, Inc. (Coumadin Clinic)
- Internal Medicine Associates, Inc. (Pre-Op Evaluation Clinic)
- Internal Medicine of Kettering, Inc (Dr. David F. Lim)
- Madhavi Inturi, NURSE PRACTITIONER
- Misbah Irfan, PHARM. D
- Betina Irwin, RN
- Angela Lynne Isbel, D.O.
- Blythe Isenburg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.