Active NPI
Gi Pathology PLLC
- Anatomic Pathology & Clinical Pathology Physician
- Peoria, AZ
National Provider Identifier
1326700675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- GI PATHOLOGY PLLC
- Doing business as
- GI Pathology
- Practice address
- 13128 N 94TH Dr Ste 201
Peoria, AZ 85381-4253 - Phone
- (623) 209-7227
- Fax
- (623) 209-7302
- NPI assigned
- Oct 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jagdish Patel, MD
- Title
- Dr / Member
- Phone
- (623) 209-7227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
13128 N 94TH Dr Ste 201
Peoria, AZ 85381-4253
Mailing address
13128 N 94TH Dr Ste 201
Peoria, AZ 85381-4253
Phone (623) 209-7227
Other names 1
- GI Pathology
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | officemanager@azmdclinic.com | Direct |
National Provider Directory
National Provider DirectoryLocations
13000 N 103rd Ave
Ste 6061
Sun City, AZ 85351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655164800000",
"number": "1326700675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13128 N 94TH DR STE 201",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814253",
"telephone_number": "623-209-7227",
"fax_number": "623-209-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13128 N 94TH DR STE 201",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814253",
"telephone_number": "623-209-7227",
"fax_number": "623-209-7302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GI PATHOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "JAGDISH",
"authorized_official_title_or_position": "DR / MEMBER",
"authorized_official_telephone_number": "623-209-7227",
"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": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "officemanager@azmdclinic.com",
"affiliation": "N",
"endpointDescription": "office manager email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "13000 N 103rd Ave Ste 60-61",
"city": "Sun City",
"state": "AZ",
"country_code": "US",
"postal_code": "853513024",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "GI Pathology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GI Pathology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.