NPIMap

Organization Active NPI

Wilmington Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilmington, NC
National Provider Identifier
1356385843
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
WILMINGTON PATHOLOGY ASSOCIATES PA
Practice address
1915 S 17TH St
Suite 100
Wilmington, NC 28401-6626
Phone
(910) 362-9511
Fax
(910) 362-0277
NPI assigned
Jun 15, 2006
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WILMINGTON PATHOLOGY ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Brian ShiroNPI 1093703175
Title
Director
Phone
(910) 362-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

1915 S 17TH St
Suite 100
Wilmington, NC 28401-6626

Mailing address

PO Box 99588
Raleigh, NC 27624-9588
Phone (919) 420-7811

National Provider Directory

National Provider Directory
Tax ID family
Wilmington Pathology Associates PA2 organizations share this tax ID, including this one
Part of
Wilmington Pathology Associates PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1356385843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99588",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276249588",
            "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": "1915 S 17TH ST",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-362-9511",
            "fax_number": "910-362-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILMINGTON PATHOLOGY ASSOCIATES PA",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SHIRO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-362-9511"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.