Plymouth Pathology Associates, PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PLYMOUTH PATHOLOGY ASSOCIATES, PC

Practice address

275 Sandwich St
Jordan Hospital
Plymouth, MA 02360-2183

Phone

(508) 830-2466

NPI assigned

Mar 16, 2006

Last updated

Mar 27, 2012By 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. Ronald G Bardawil, M.D.NPI 1336118595

Title

Owner

Phone

(508) 746-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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.

• Ronald G Bardawil, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Plymouth, MA
  • NPI 1336118595
  Authorized official Same address or phone
• Alexandra Lagos, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wellesley, MA
  • NPI 1932151065

  Hematology

  NPD
• Marianne I Demarco, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Bennington, VT
  • NPI 1619981727
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1255300810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "address_2": "JORDAN HOSPITAL",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183",
            "telephone_number": "508-830-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SANDWICH ST",
            "address_2": "JORDAN HOSPITAL",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602183",
            "telephone_number": "508-830-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH PATHOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BARDAWIL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-746-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777571",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plymouth Ma SNF LLC (Plymouth Rehabilitation & Health Care Center)
• Plymouth Ma SNF, LLC (Plymouth Rehab & Health Care Center)
• Plymouth Medical Investors, LLC (Life Care Center of Plymouth)
• Plymouth OB-GYN Associates Inc
• Plymouth Orthodontics
• Plymouth Pediatric Associates, LLC
• Plymouth Pediatric Associates, LLC (Plymouth Pediatric Associates)
• Plymouth Perio PLLC
• Plymouth Podiatry Bidco PC
• Plymouth Podiatry PC

• Anatomic Pathology & Clinical Pathology Physician in Plymouth, MA
• Providers in Plymouth, 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 Mar 27, 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.