Organization Active NPI

Ameripath Texas, Inc.

  • Clinical Medical Laboratory
  • Sherman, TX
National Provider Identifier
1295970580
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
45D0982307 Issued in TX
Legal business name
AMERIPATH TEXAS, INC.
Practice address
3409 N Highway 1417
Sherman, TX 75092-6634
Phone
(903) 463-1004
Fax
(903) 463-4545
NPI assigned
Dec 16, 2008
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERIPATH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Edward Michael Kramer, MD
Title
Vice President
Phone
(610) 550-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 45D0982307 TX Primary

Addresses

Primary practice location

3409 N Highway 1417
Sherman, TX 75092-6634

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

Other names 1

  • Ameripath Texas, LP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040731000232 TX Part B Supplier - Independent Clinical Laboratory 7012820806 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: North Richland Hills, TX; Mansfield, TX; Lewisville, TX; Dallas, TX; Arlington, TX

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3409 N Highway 1417
Sherman, TX 75092
Phone (903) 463-1004

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1295970580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N HIGHWAY 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926634",
            "telephone_number": "903-463-1004",
            "fax_number": "903-463-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH TEXAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2008-12-16",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-550-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0982307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ameripath Texas, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.