Suncoast Pathology

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

800000658 Issued in FL

Legal business name

SUNCOAST PATHOLOGY

Practice address

446 Tamiami TRL S
Second Floor
Venice, FL 34285-2625

Phone

(941) 483-3319

Fax

(941) 483-3406

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

William G Roth, M.D.

Title

Vice President/Secretary

Phone

(941) 483-3319

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tamara L. Densmore, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Venice, FL
  • NPI 1144202250

  Cytopathology

  NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1487601233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 TAMIAMI TRL S",
            "address_2": "SECOND FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852625",
            "telephone_number": "941-483-3319",
            "fax_number": "941-483-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 TAMIAMI TRL S",
            "address_2": "SECOND FLOOR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852625",
            "telephone_number": "941-483-3319",
            "fax_number": "941-483-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "941-483-3319",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "800000658",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "800000658",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Immunopathology",
            "state": "FL",
            "license": "800000658",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "800000658",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "800000658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002870300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Medical Supply, Inc.
• Suncoast Eyehealth P.a.
• Suncoast Oral Surgery & Periodontics
• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.
• Suncoast Orthotics and Prosthetics, Inc.
• Suncoast Pelvic Therapy & Wellness, PLLC
• Suncoast Trim Clinic, LLC
• Sunline Transportation LLC
• Sunset Lake Healthcare and Rehabilitation Center LLC
• Sunset Lake Surgery Center LLC

• Anatomic Pathology & Clinical Pathology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.