NPIMap

Organization Active NPI

Ameripath Indianapolis PC

  • Clinical Medical Laboratory
  • Cincinnati, OH
National Provider Identifier
1477799666
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
36D1093279 Issued in OH
Legal business name
AMERIPATH INDIANAPOLIS PC
Practice address
6700 Steger Dr
Room 121 & 122
Cincinnati, OH 45237-3046
Phone
(513) 353-6531
NPI assigned
Dec 18, 2008
Organization subpart
Yes
Parent organization
AMERIPATH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Dr. Edward M Kramer
Title
VP
Phone
(610) 550-3000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 36D1093279 OH
Clinical Medical Laboratory 291U00000X 36D1093279 OH Primary

Addresses

Primary practice location

6700 Steger Dr
Room 121 & 122
Cincinnati, OH 45237-3046

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029

Other identifiers 4

IdentifierTypeStateIssuer
7100137980MedicaidKY
2987835MedicaidOH
201026930CMedicaidIN
7100126450MedicaidKY

National Provider Directory

National Provider Directory

Locations

13179 Collections Ctr Dr
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1477799666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "214-932-8029",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 STEGER DR",
            "address_2": "ROOM 121 & 122",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373046",
            "telephone_number": "513-353-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIPATH INDIANAPOLIS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC",
        "enumeration_date": "2008-12-18",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "36D1093279",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D1093279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100137980",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2987835",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201026930C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100126450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.