St Louis Pathology Assoc Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

110857 Issued in MO

Legal business name

ST LOUIS PATHOLOGY ASSOC INC.

Practice address

660 Office Pkwy
Saint Louis, MO 63141-7103

Phone

(314) 991-8015

NPI assigned

Apr 2, 2008

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Barry G Cordes, M.D.NPI 1942252408

Title

Pathologist

Phone

(314) 991-8015

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• St Louis Pathology Assoc Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
  • NPI 1194778415

  O20051026000132

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barry G Cordes, M..D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Louis, MO
  • NPI 1942252408
  Authorized official Same address or phone

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1205008976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 OFFICE PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417103",
            "telephone_number": "314-991-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 OFFICE PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417103",
            "telephone_number": "314-991-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS PATHOLOGY ASSOC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CORDES",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "314-991-8015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "110857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501888903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "000011348",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Louis Orthopedic Surgery, Inc
• St Louis Pain Center LLC
• St Louis Pain Management Center
• St Louis Pain Management Center Inc
• St Louis Pathology Assoc Inc.
• St Louis Public Schools
• St Louis Recovery Hospital LLC
• St Louis Regenerative Medicine and Pain Institute,LLC
• St Louis Society for the Blind
• St Louis South Orthodontics

• Anatomic Pathology & Clinical Pathology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.