NPIMap

Organization Active NPI

Easton Pathology Group

  • Anatomic Pathology Physician
  • Easton, PA
National Provider Identifier
1164482006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD026639E Issued in PA
Legal business name
EASTON PATHOLOGY GROUP
Practice address
250 S 21St St
Easton, PA 18042-3851
Phone
(610) 250-4231
Fax
(610) 250-4143
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sanford Dorman, MD
Title
Director/Active Attending
Phone
(610) 250-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X MD026639E PA Primary

Addresses

Primary practice location

250 S 21St St
Easton, PA 18042-3851

Mailing address

250 S 21St St
Easton, PA 18042-3851
Phone (610) 250-4231

Other identifiers 1

IdentifierTypeStateIssuer
0010607560011MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164482006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4231",
            "fax_number": "610-250-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S 21ST ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423851",
            "telephone_number": "610-250-4231",
            "fax_number": "610-250-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON PATHOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORMAN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "DIRECTOR/ACTIVE ATTENDING",
        "authorized_official_telephone_number": "610-250-4231",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PA",
            "license": "MD026639E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010607560011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.