Osullivan Pathology PLLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

0101244383 Issued in VA

Legal business name

OSULLIVAN PATHOLOGY PLLC

Practice address

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408-7762

Phone

(703) 257-1440

NPI assigned

Oct 18, 2016

Last updated

Dec 22, 2016By 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

Emerald Osullivan-Mejia, MDNPI 1548461932

Title

Owner

Phone

(703) 257-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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.

• Emerald Dawn O'Sullivan-Mejia, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fredericksburg, VA
  • NPI 1548461932
  Medicare reassignment NPD Authorized official
• Maritza Romero-Gutierrez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fairfax, VA
  • NPI 1720042526
  Medicare reassignment NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1487105169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 BUSINESS WAY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104151",
            "telephone_number": "703-257-1440",
            "fax_number": "703-257-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SPOTSYLVANIA PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087762",
            "telephone_number": "703-257-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSULLIVAN PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "OSULLIVAN-MEJIA",
        "authorized_official_first_name": "EMERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-257-1440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101244383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Charles Osborn, MD
• Kelly Schrock Osborne, CPNP
• Monique Antonia Osborne, PMHNP
• Sabina Oseku-Afful, NP
• Tahanie Osman, M.D
• Daniel Oteng, MD
• Scott Robert Ottolini, M.D.
• Melissa Overman
• Danyelle Marie Owen, PA-C
• Kellie Rhee Owen, CMT

• Anatomic Pathology & Clinical Pathology Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.