NPIMap

Organization Active NPI

Bostwick Pathology

  • Clinical Medical Laboratory
  • Ridgeland, MS
National Provider Identifier
1144624073
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
04959 Issued in MS
Legal business name
BOSTWICK PATHOLOGY
Practice address
408 Bay CV
Ridgeland, MS 39157-9203
Phone
(601) 927-7764
NPI assigned
Oct 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Frank Bostwick, MD
Title
Pathologist
Phone
(601) 927-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 04959 MS Primary

Addresses

Primary practice location

408 Bay CV
Ridgeland, MS 39157-9203

Mailing address

408 Bay CV
Ridgeland, MS 39157-9203
Phone (601) 927-7764

Other identifiers 1

IdentifierTypeStateIssuer
N/AOtherMSBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1144624073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BAY CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579203",
            "telephone_number": "601-927-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BAY CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391579203",
            "telephone_number": "601-927-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTWICK PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "BOSTWICK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "601-927-7764",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "04959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N/A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.