Pontchartrain Pathology Apmc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PONTCHARTRAIN PATHOLOGY APMC

Practice address

1001 Gause Blvd
Slidell, LA 70458-2939

Phone

(985) 649-8802

NPI assigned

Aug 18, 2005

Organization subpart

No

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

Authorized official

Name

Jerry Hudson, MD

Title

President

Phone

(985) 649-8802

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Dane W Sandquist, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
  • NPI 1487844874
  NPD (past)
• Mariclara Torrellas-Ruiz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • San Juan, PR
  • NPI 1982866083
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174515860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54930",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544930",
            "telephone_number": "985-785-2221",
            "fax_number": "785-785-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-649-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN PATHOLOGY APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-649-8802",
        "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": "1441881",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond L Poirrier III, D.D.S.
• Breonna Lee Polk
• Ashley Michelle Pollard, PMHNP
• Maria de Los Angeles Pons, M.D.
• Lindsay P Ponstein, FNP
• Latoyia Lashay Porter
• Positive Behavior Solutions, LLC
• Positive Concepts
• Positive Concepts, LLC
• Positive Concepts, LLC

• Anatomic Pathology & Clinical Pathology Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• 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.