Organization Active NPI

Washington Pathology Services., Inc

  • Anatomic Pathology Physician
  • Vienna, VA
National Provider Identifier
1356482517
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
0101030967 Issued in VA
Legal business name
WASHINGTON PATHOLOGY SERVICES., INC
Practice address
360 Maple Ave W
Suite F
Vienna, VA 22180-5614
Phone
(703) 255-5504
Fax
(703) 255-5507
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Alexander T Ocampo, M.D
Title
President
Phone
(703) 255-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X 0101030967 VA Primary

Addresses

Primary practice location

360 Maple Ave W
Suite F
Vienna, VA 22180-5614

Mailing address

200 Lawyers Rd, N.W
#1455
Vienna, VA 22183-8071
Phone (703) 255-5504

Other identifiers 4

IdentifierTypeStateIssuer
W431OtherMDCAREFIRST
1491OtherCAREFIRST
201793OtherVAANTHEM
W1H12OtherEMPIRE BLUE CROSS

National Provider Directory

National Provider Directory

Locations

200 Lawyers Rd NW
Unit 1455
Vienna, VA 22183

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1356482517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAWYERS RD, N.W",
            "address_2": "#1455",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221838071",
            "telephone_number": "703-255-5504",
            "fax_number": "703-255-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W",
            "address_2": "SUITE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-255-5504",
            "fax_number": "703-255-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON PATHOLOGY SERVICES., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "OCAMPO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-255-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0101030967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "W431",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "1491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "201793",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "W1H12",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.