Bolivar Pathology Services

Primary specialty

ContractorTaxonomy code 171W00000X

License

16044 Issued in MS

Legal business name

BOLIVAR PATHOLOGY SERVICES

Practice address

901 E Sunflower Rd
901 Hwy 8 East
Cleveland, MS 38732-2833

Phone

(662) 846-5689

Fax

(662) 846-2244

NPI assigned

Nov 9, 2006

Last updated

Feb 4, 2011By 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

Maria G Sparacino, MD

Title

Pathologist

Phone

(601) 573-2307

Specialties & licenses 2

Addresses

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.

• Stephen J Krompecher, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Elk City, OK
  • NPI 1801969522
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1306916937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98535",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276248535",
            "telephone_number": "919-420-7811",
            "fax_number": "919-420-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E SUNFLOWER RD",
            "address_2": "901 HWY 8 EAST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322833",
            "telephone_number": "662-846-5689",
            "fax_number": "662-846-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "SPARACINO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "601-573-2307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MS",
            "license": "16044",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MS",
            "license": "16044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Alan Blake, M.D.
• Bolivar County Caa
• Bolivar County Council on Aging, Inc.
• Bolivar Emergency Group LLC
• Bolivar ENT, Inc
• Bolivar Physician Practices LLC
• Bolivar Physician Practices LLC (Bolivar Orthopedics)
• Bolivar Physician Practices LLC (Bolivar Urology Clinic)
• Bolivar Physician Practices LLC (Universal Health Care Center)
• Bolivar Physician Practices LLC (Bolivar ENT)

• Contractor in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Contractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.