Northeast Pathology Group, PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

NORTHEAST PATHOLOGY GROUP, PA

Practice address

2701 Hospital Drvie
Victoria, TX 77901-5748

Phone

(361) 575-1111

Fax

(361) 573-5012

NPI assigned

Dec 6, 2005

Last updated

Jan 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Caroline L. Valdes, MD

Title

President/Owner

Phone

(361) 575-1111

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Gerard Anthony Bertolino, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houma, LA
  • NPI 1003810474
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1467436196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207048",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207048",
            "telephone_number": "713-559-6929",
            "fax_number": "713-559-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HOSPITAL DRVIE",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015748",
            "telephone_number": "361-575-1111",
            "fax_number": "361-573-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PATHOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "361-575-1111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374209001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CQ4039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Nobles, OTR
• Skyler Lyndsey Nobles
• Noe R. Olvera MD PA
• Renee Noonan, PTA
• Norman Murray Sawyers
• Northland Hearing Centers, Inc (NewSound Hearing Aid Centers)
• Craig Novak, PHARMD
• Nurse Next Door, Victoria
• Obiananma Grace Nweke, RPH
• Jill Lynn O'Neill, M.ED., LPC

• Anatomic Pathology & Clinical Pathology Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.