Peninsula Pathology Associates Incorporated

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PENINSULA PATHOLOGY ASSOCIATES INCORPORATED

Practice address

500 J Clyde Morris Blvd
Newport News, VA 23601-1929

Phone

(757) 594-2160

NPI assigned

Oct 10, 2005

Last updated

Mar 12, 2018By 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. David M Smith, MDNPI 1407844806

Title

President

Phone

(757) 594-2160

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 8

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.

• David Michael Smith, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1407844806
  Medicare reassignment Care Compare group NPD Authorized official
• Lucy Elena Defanti

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1497072664
  Medicare reassignment Care Compare group NPD
• Theresa S Emory, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1639155492
  Medicare reassignment Care Compare group NPD
• Michael Alan Schwartz, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1871581280
  Medicare reassignment Care Compare group NPD
• Eric Randolph Scott, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Richmond, VA
  • NPI 1477739431
  Medicare reassignment Care Compare group NPD
• Kevaghn P. Fair, D.O.

  • Dermatopathology (Pathology) Physician
  • Norfolk, VA
  • NPI 1285694042

  Anatomic Pathology & Clinical Pathology

  NPD
• Warren Bowman Helwig, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1740278233
  NPD
• Carolyn Fawn O'Connor, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1093703407
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1306834858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 J CLYDE MORRIS BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011929",
            "telephone_number": "757-594-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA PATHOLOGY ASSOCIATES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-594-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8272",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninsula Institute for Community Health Inc (East End Physicians)
• Peninsula Neurology LTD
• Peninsula Orthodontics, PC
• Peninsula Pain and Rehabilitation Center, Inc.
• Peninsula Pastoral Counseling Center Inc. (Peninsula Pastoral Counseling Center)
• Peninsula Pathology Associates of Virginia PLLC
• Peninsula Pediatric Dentistry, P.C.
• Peninsula Pediatric Psychiatry
• Peninsula Pediatrics LTD
• Peninsula Pharmacy Services

• Anatomic Pathology & Clinical Pathology Physician in Newport News, VA
• Providers in Newport News, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.