Galesburg Pathology Group, S.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

GALESBURG PATHOLOGY GROUP, S.C.

Practice address

695 N Kellogg St
Galesburg, IL 61401-2807

Phone

(309) 345-4562

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Edward F Santos, M.D.

Title

President

Phone

(309) 343-5899

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Maria Cleto-Quiaoit, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Galesburg, IL
  • NPI 1487605457
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1083668123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10140",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616120140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-345-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG PATHOLOGY GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-343-5899",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM6787",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04815048",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Galesburg Hospital Corporation (Galesburg Cottage Hospital)
• Galesburg Hospital Corporation (Galesburg Cottage Hospital)
• Galesburg Hospital Corporation (Galesburg Cottage Hospital)
• Galesburg Hospitals' Ambulance Service
• Galesburg Orthopedic Services, LTD
• Galesburg Professional Services LLC
• Galesburg Radiology Associates, S.C.
• Galesburg Terrace Inc.
• Galesburg Wellness Systems P.C. (Galesburg Wellness Center)
• Jayleen K Galloway

• Anatomic Pathology & Clinical Pathology Physician in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.