Organization Active NPI

Jamestown Area Pathology ,LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Jamestown, NY
National Provider Identifier
1477597235
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
JAMESTOWN AREA PATHOLOGY ,LLC
Practice address
207 Foote Ave
Jamestown, NY 14701-7077
Phone
(716) 664-8114
Fax
(716) 664-8306
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
William A Geary, MDNPI 1629075114
Title
President
Phone
(716) 664-8114

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 & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

207 Foote Ave
Jamestown, NY 14701-7077

Mailing address

117 Foote Avenue
Suite 220
Jamestown, NY 14701-6636
Phone (716) 338-9236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001308 NY Part B Supplier - Clinic/Group Practice 8628067840 Receives reassigned benefits from 2 practitioners
Practice locations: Jamestown, NY

National Provider Directory

National Provider Directory

Locations

117 Foote Ave
Ste 220
Jamestown, NY 14701

117 Foote Ave
Jamestown, NY 14701
Phone (716) 338-9200

15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1477597235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOOTE AVENUE",
            "address_2": "SUITE 220",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016636",
            "telephone_number": "716-338-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017077",
            "telephone_number": "716-664-8114",
            "fax_number": "716-664-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN AREA PATHOLOGY ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "GEARY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-664-8114",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.