MCD Pathology LLP

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MCD PATHOLOGY LLP

Practice address

7777 Forest Lane
Department of Pathology
Dallas, TX 75230-2584

Phone

(972) 566-7283

Fax

(792) 566-7183

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Jo Ellen Krueger, M.D.NPI 1750313904

Title

Partner

Phone

(972) 566-7283

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Jo Ellen Reeves Krueger, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1750313904
  Medicare reassignment Care Compare group NPD Authorized official
• Atin Agarwal

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1801178371
  Medicare reassignment Care Compare group NPD
• Amanda Lynn Profit, MD

  • Molecular Genetic Pathology (Pathology) Physician
  • Dallas, TX
  • NPI 1962729194
  Medicare reassignment Care Compare group NPD
• Jason S. Willis, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
  • NPI 1487857983
  Medicare reassignment NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1114959665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-7283",
            "fax_number": "792-566-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302584",
            "telephone_number": "972-566-7283",
            "fax_number": "792-566-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCD PATHOLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JO ELLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-566-7283",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PM89",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120722702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy McCurdy, APRN
• Shakaela Monae McCurdy, CD
• Ian Joseph McCurry, MD
• Charles F McCuskey IV
• Leslie Jane McCutchen, RN, NNP-BC
• Barbara G McDaniel, D.D.S.
• Candace Freeman McDaniel, D.O.
• Conner C McDaniel, MD
• Gary McDaniel, LPC
• Katherine McDaniel

• Anatomic Pathology & Clinical Pathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.