NPIMap

Organization Active NPI

Cumberland Pathology Associates, LLC

  • Anatomic Pathology Physician
  • Carlisle, PA
National Provider Identifier
1386695666
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
Legal business name
CUMBERLAND PATHOLOGY ASSOCIATES, LLC
Practice address
45 Sprint Dr
Carlisle, PA 17013-7696
Phone
(717) 245-5700
NPI assigned
May 12, 2006
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Duckkyu Chang, MDNPI 1689611915
Title
Pres.
Phone
(717) 245-5700

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 Physician 207ZP0101X NU Primary

Addresses

Primary practice location

45 Sprint Dr
Carlisle, PA 17013-7696

Mailing address

45 Sprint Dr
Carlisle, PA 17013-7696
Phone (717) 245-5700

Other identifiers 1

IdentifierTypeStateIssuer
1013828230001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1386695666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SPRINT DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137696",
            "telephone_number": "717-245-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SPRINT DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170137696",
            "telephone_number": "717-245-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DUCKKYU",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "717-245-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013828230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.