Path Net, LLC

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

MD23222 Issued in OR

Legal business name

PATH NET, LLC

Practice address

486 Siskiyou Blvd
Ashland, OR 97520-2136

Phone

(541) 944-0419

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Miguel Montes, MD

Title

President

Phone

(541) 944-0419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1225304645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "877-772-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SISKIYOU BLVD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202136",
            "telephone_number": "541-944-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH NET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-944-0419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "OR",
            "license": "MD23222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Palmesano, PT
• Pamarie Pedjoe
• Hannah Park, RN
• Rebecca Suzanne Parker, RN, MN, CNM, FNP.
• Cynthia Ann Parks-Landis, FNP
• Patricia L. Montoya, Psy. D., LLC
• Patrick J Wedlake DO PC
• Joyce Lorraine Patten, DC
• Jordan Isaac Paz Novak
• Peak Experience, PC

• Clinical Pathology Physician in Ashland, OR
• Providers in Ashland, OR by specialty
• Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.