Watauga Pathology Associates PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WATAUGA PATHOLOGY ASSOCIATES PC

Practice address

1725 W Market St
Johnson City, TN 37604-6020

Phone

(423) 431-1310

Fax

(423) 431-6331

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Soike, MDNPI 1295700540

Title

President

Phone

(423) 431-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Watauga Pathology Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1720053945

  O20070919000360

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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

• David Richard Soike, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1295700540
  NPD Authorized official
• Elizabeth Mary Arze, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Mountain Home, TN
  • NPI 1558637082
  NPD
• Thomas Alan Barklow, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1922292580
  NPD
• Sandra Kaye Brooks, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1801861414
  NPD
• Patrick Nicholas Costello, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1710952320
  NPD
• Elena Gertsen, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1881858876
  NPD
• John Chadwick King, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1396710505
  NPD
• Emily R Patterson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1043506108
  NPD
• Julie Elisabeth Robertson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1356316962
  NPD
• Robert Lee Schmadeka, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greeneville, TN
  • NPI 1669645123
  NPD
• David A Sibley, M.D,

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1871568121
  NPD
• Thomas M Soike, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Johnson City, TN
  • NPI 1063707081
  NPD

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1174820971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046020",
            "telephone_number": "423-431-1310",
            "fax_number": "423-431-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046020",
            "telephone_number": "423-431-1310",
            "fax_number": "423-431-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA PATHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "SOIKE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-431-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington County Community Residential Services, Inc.
• Washington County Health Department
• Washington County-Johnson City Emergency Medical Services Inc
• William M Wason, MD
• Watauga Orthopaedics PLC
• Watauga Pathology Associates PC
• Watauga Recovery Center
• Watauga Recovery Center Morristown P.C.
• Amy Elizabeth Waters, MS, RD, IBCLC
• Michelle Jordon Waters, FNP-BC

• Clinical Medical Laboratory in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.