Seymour Indiana Pathologists, Inc
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Seymour, IN
NPI 1124237987 · NPPES record last updated Aug 9, 2016
Key facts
- NPI
- 1124237987
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- SEYMOUR INDIANA PATHOLOGISTS, INC
- Practice address
- 309 W Bruce St
Seymour, IN 47274-2319 - Phone
- (812) 522-9818
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James W. Whitler, MD
- Title
- President
- Phone
- (812) 522-2349
Practitioners 272
-
Lucas A Acton, NP
-
Terri J Agan, NPC
-
Evan Ryan Aldridge, DPM
-
Jenna Aleea Ali, M.D
-
Amber L Allen, MD
-
Melissa M Anderson, FNP-C
-
Sherry Mae Arbuckle, FNP
-
Brilyn Michelle Banister, PA-C
-
Kristen Collin Barr, CRNA
-
Robert Bryan Barriger, M.D.
-
Atul Barry, MD
-
Kenneth Boyd Bates, PA-C
-
Sherry Danae Beal, MSW
-
Shannon Lea Bedja, FNP-C
-
Yakov G Belenky, M.D.
-
Bradley B Bell, MD
-
Samuel P Brinson, DO
-
Randall D Brown, MD
National Provider Directory
Locations
310 S Walnut St
Seymour, IN 47274
Phone (812) 522-9818
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
309 W Bruce St
Seymour, IN 47274
Phone (812) 522-9818
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
309 W Bruce St
Seymour, IN 47274-2319
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100140570 | Medicaid | IN |
NPI Registry JSON
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1124237987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-288-8325",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W BRUCE ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742319",
"telephone_number": "812-522-9818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEYMOUR INDIANA PATHOLOGISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "WHITLER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-522-2349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100140570",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
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All providers in Seymour, IN · Anatomic Pathology & Clinical Pathology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.