NPIMap

Organization Active NPI

Integrity Pathology LLC

  • Anatomic Pathology Physician
  • Medina, WA
National Provider Identifier
1366871402
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD00034088 Issued in WA
Legal business name
INTEGRITY PATHOLOGY LLC
Practice address
7620 Overlake Dr W
Medina, WA 98039-4733
Phone
(425) 457-0250
NPI assigned
Nov 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Dr. Douglas Alan Hansen, MDNPI 1124061619
Title
Owner/Pathologist
Phone
(425) 457-0250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X MD00034088 WA Primary

Addresses

Primary practice location

7620 Overlake Dr W
Medina, WA 98039-4733

Mailing address

7620 Overlake Dr W
Medina, WA 98039-4733
Phone (425) 457-0250

Other names 1

  • DermCorp Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1366871402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 OVERLAKE DR W",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980394733",
            "telephone_number": "425-457-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 OVERLAKE DR W",
            "city": "MEDINA",
            "state": "WA",
            "postal_code": "980394733",
            "telephone_number": "425-457-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PATHOLOGIST",
        "authorized_official_telephone_number": "425-457-0250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "WA",
            "license": "MD00034088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DermCorp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medina, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.