Active NPI
Gregory M Prince, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35070641
- Practice address
- 3170 W Central Ave
Toledo, OH 43606-2945 - Phone
- (419) 534-3500
- Fax
- (419) 534-2608
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35070641 | OH | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301091535 | MI |
Addresses
Primary practice location
3170 W Central Ave
Toledo, OH 43606-2945
Mailing address
3170 W Central Ave
Toledo, OH 43606-2945
Phone (419) 534-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307224 | Medicaid | OH | |
| 4272484 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080313000529 | MI | Practitioner - Pathology | 9830274935 | Reassigns benefits to 1 organization |
| I20120201000443 | OH | Practitioner - Pathology | 9830274935 | Reassigns benefits to 1 organization |
| I20241231001729 | FL | Practitioner - Pathology | 9830274935 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Rush Medical College of Rush University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Coast Pathology of Florida, PA
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-3523
Hospital & facility affiliations
- Adventhealth Daytona Beach
- AdventHealth Palm Coast
- Adventhealth New Smyrna Beach
- Adventhealth Palm Coast Parkway
- Halifax Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301091535 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35070641 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Laboratory Medicine of Greater Toledo | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| East Coast Pathology of Florida, PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Memorial Hospital-West Volusia Inc | Current | Accepting new patients |
Locations
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906
401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
595 N Nova Rd
Ste 118
Ormond Beach, FL 32174
Phone (386) 231-3523
11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820
1 Adventhealth Way
Palm Coast, FL 32137
Phone (330) 414-9233
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
3170 W Central Ave
Toledo, OH 43606
Phone (567) 803-9706
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Ormond Beach, FL
- NPI 1154601912
Anatomic Pathology & Clinical Pathology, FL
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
Anatomic Pathology & Clinical Pathology, MI, OH
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
Hospital
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1144289596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "GREGORY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35070641",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301091535",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0307224",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4272484",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.