The Pathology Group PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

THE PATHOLOGY GROUP PC

Doing business as

The Pathology Group

Practice address

2351 G Road
Community Hospital
Grand Junction, CO 81505

Phone

(970) 549-4140

Fax

(432) 223-2147

NPI assigned

Nov 3, 2005

Last updated

Jan 21, 2020By 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

Dean M Havlik, MDNPI 1508857442

Title

President

Phone

(970) 256-6266

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Pathology Group Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 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.

• Dean M Havlik, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Grand Junction, CO
  • NPI 1508857442
  Medicare reassignment NPD Authorized official
• Katherine Margarette Phillips, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Grand Junction, CO
  • NPI 1174816862
  Medicare reassignment NPD
• Deborah Gail Johnson, MD

  • Forensic Pathology Physician
  • McAllen, TX
  • NPI 1003050279
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1306837737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4235",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81502",
            "telephone_number": "970-256-6463",
            "fax_number": "970-549-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 G ROAD",
            "address_2": "COMMUNITY HOSPITAL",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81505",
            "telephone_number": "970-549-4140",
            "fax_number": "432-223-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATHOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HAVLIK",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-256-6266",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI3527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023412",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhavlik@gjhosp.org",
            "affiliation": "N",
            "address_1": "2351 G Road",
            "address_2": "Community Hospital",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "81505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Pathology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pathology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anatomic Pathology & Clinical Pathology Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.