Southwestern Pathology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

19385 Issued in OK

Legal business name

SOUTHWESTERN PATHOLOGY ASSOCIATES

Practice address

4704 NW Motif Manor Blvd
Suite 7
Lawton, OK 73505-4800

Phone

(580) 536-0021

Fax

(580) 536-1024

NPI assigned

Sep 19, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHWESTERN PATHOLOGY ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Michael C McGinnis, M.D.NPI 1801841358

Title

Director of Pathology/Owner

Phone

(580) 536-0021

Specialties & licenses 2

Addresses

Other identifiers 5

Part of

Southwestern Pathology

Locations

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.

• Michael Clifton McGinnis, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollister, CA
  • NPI 1801841358
  NPD Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1306032891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 NW MOTIF MANOR BLVD",
            "address_2": "SUITE 7",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054800",
            "telephone_number": "580-536-0021",
            "fax_number": "580-536-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 NW MOTIF MANOR BLVD",
            "address_2": "SUITE 7",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735054800",
            "telephone_number": "580-536-0021",
            "fax_number": "580-536-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN PATHOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWESTERN PATHOLOGY ASSOCIATES",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MCGINNIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR OF PATHOLOGY/OWNER",
        "authorized_official_telephone_number": "580-536-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "19385",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OK",
            "license": "19385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5001537",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2738769",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DD1085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2359692000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051543",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwestern Medical Center, LLC (Southwestern Medical Center)
• Southwestern Medical Center, LLC (Southwestern Medical Center)
• Southwestern Neurosurgery Physicians LLC (Southwestern Neurosciences)
• Southwestern Oklahoma Surgical Associates, LLC (Omni Surgical Center)
• Southwestern Oklahoma Surgical Associates, LLC
• Southwestern Pediatrics LLC
• Southwestern Physician Services LLC
• Southwestern Pulmonary and Critical Care PLLC
• Southwestern Radiology Affiliates, LLC
• Southwestern Surgical Affiliates, LLC

• Specialist in Lawton, OK
• Providers in Lawton, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.