Anatomical Pathology Associates, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ANATOMICAL PATHOLOGY ASSOCIATES, INC.

Practice address

421 N Monte Vista St
Ada, OK 74820-4609

Phone

(580) 332-9595

Fax

(580) 332-4921

NPI assigned

Sep 8, 2006

Last updated

Dec 3, 2024By 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. John Wesley Mooring, M. D.NPI 1174734495

Title

Owner

Phone

(580) 332-9595

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• John Wesley Mooring, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ada, OK
  • NPI 1174734495
  NPD Authorized official

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1306940689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204609",
            "telephone_number": "580-332-9595",
            "fax_number": "580-332-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204609",
            "telephone_number": "580-332-9595",
            "fax_number": "580-332-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANATOMICAL PATHOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MOORING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-332-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "8286",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG4223",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100758610B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mackenzie Allison
• Daniel J Allman
• Jose Alvarez-Villa, MD
• Amber Lyn Anderson, LMFT
• Jesse Anderson
• Joseph Anderson
• Logan Faye Anderson
• Melissa Anderson, PHARMD

• Clinical Medical Laboratory in Ada, OK
• Providers in Ada, OK by specialty
• Clinical Medical Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.