Active NPI
Midwestern Pathology, PC
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
National Provider Identifier
1225033939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- MIDWESTERN PATHOLOGY, PC
- Practice address
- 1521 Gull Rd
Kalamazoo, MI 49048-1640 - Phone
- (269) 266-7231
- NPI assigned
- Jun 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Scott, MD
- Title
- President
- Phone
- (269) 226-7231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MI | Primary |
Addresses
Primary practice location
1521 Gull Rd
Kalamazoo, MI 49048-1640
Mailing address
6810 Reliable Parkway
Chicago, IL 60686-0001
Phone (800) 288-8325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220C960410 | Other | MI | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
6810 Reliable Pkwy
Chicago, IL 60686
6565 W Main St
Ste 205
Kalamazoo, MI 49009
Phone (269) 226-5456
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1346236593
-
- Anatomic Pathology & Clinical Pathology Physician
- Kalamazoo, MI
- NPI 1336135219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1225033939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6810 RELIABLE PARKWAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "800-288-8325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 GULL RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490481640",
"telephone_number": "269-266-7231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWESTERN PATHOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-226-7231",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "220C960410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.