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

Last updated

Aug 18, 2011By 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

William G Roth, M.D.NPI 1124027362

Title

Vice President/Secretary

Phone

(941) 483-3319

Specialties & licenses 5

Addresses

Locations

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.

• William G Roth, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Venice, FL
  • NPI 1124027362
  Authorized official Same address or phone
• 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": [],
    "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.