Kirkwood Pathology Services Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

KIRKWOOD PATHOLOGY SERVICES INC

Practice address

525 Couch Ave
Saint Louis, MO 63122-5536

Phone

(314) 966-1500

Fax

(314) 631-4672

NPI assigned

Oct 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William H Boyce, MD

Title

President/Provider

Phone

(314) 966-1500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1346429156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630220439",
            "telephone_number": "800-354-1088",
            "fax_number": "314-631-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 COUCH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225536",
            "telephone_number": "314-966-1500",
            "fax_number": "314-631-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD PATHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "314-966-1500",
        "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": "BCBS",
            "identifier": "1208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirksville Medical Imaging, Inc.
• Jerome J Kirkton, CRNA
• Kirkwood Ambulatory Surgery Center
• Kirkwood Diagnostic & Orthopedic Associates, LLC.
• Kirkwood Medical Group LLC
• Nigar Kirmani, MD
• Timothy Gerard Kirn Jr., MPT
• Mary E Kirsch, CRNA
• Sharon Kirsch, M.A.
• Carol Ann Kirschman, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.