Organization Active NPI

Accupath Plus LLC

  • Anatomic Pathology Physician
  • Apollo Beach, FL
National Provider Identifier
1457320194
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
800001365 Issued in FL
Legal business name
ACCUPATH PLUS LLC
Practice address
5938 Frond Way
Apollo Beach, FL 33572
Phone
(813) 641-0484
Fax
(813) 641-0488
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Dr. Russell H Wong, MDNPI 1477628584
Title
Medical Director MD
Phone
(813) 641-0484

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0101X 800001365 FL Primary
Clinical Medical Laboratory 291U00000X 800001365 FL

Addresses

Primary practice location

5938 Frond Way
Apollo Beach, FL 33572

Mailing address

5938 Frond Way
Apollo Beach, FL 33572-2646
Phone (813) 641-0484

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory

Locations

5938 Frond Way
Apollo Beach, FL 33572
Phone (813) 641-0466

Practitioners & affiliated clinicians

Practitioners 2

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": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1457320194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 FROND WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722646",
            "telephone_number": "813-641-0484",
            "fax_number": "813-641-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 FROND WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "33572",
            "telephone_number": "813-641-0484",
            "fax_number": "813-641-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCUPATH PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR MD",
        "authorized_official_telephone_number": "813-641-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "800001365",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800001365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.