Milton Pathology Associates

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MILTON PATHOLOGY ASSOCIATES

Practice address

92 Highland St
Milton, MA 02186-3800

Phone

(617) 696-4600

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon Keller, MD

Title

Chief of Pathology

Phone

(617) 696-4600

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194944108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 HIGHLAND ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863800",
            "telephone_number": "617-696-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 HIGHLAND ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863800",
            "telephone_number": "617-696-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF OF PATHOLOGY",
        "authorized_official_telephone_number": "617-696-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9743383",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "M15030",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milton Dental Office PC
• Milton HC Operating LLC
• Milton Healthcare LLC
• Milton Hill Dental PLLC
• Milton Hospital Tcu Unit
• Milton Radiologists Inc
• Milton Residences for the Elderly, Inc.
• Deborah Lavennia Milton, MM
• CJ Mimee
• Sara Mohammed

• Anatomic Pathology & Clinical Pathology Physician in Milton, MA
• Providers in Milton, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• 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.