Active NPI
GMT Pathology
- Anatomic Pathology Physician
- Lewistown, PA
National Provider Identifier
1487635082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- GMT PATHOLOGY
- Practice address
- 4TH and Highland STS
Lewistown, PA 17044 - Phone
- (570) 346-7797
- Fax
- (570) 342-9802
- NPI assigned
- Nov 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gopalkrisha Trivedi, MD
- Title
- Head of Group
- Phone
- (570) 346-7797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | PA | Primary |
Addresses
Primary practice location
4TH and Highland STS
Lewistown, PA 17044
Mailing address
PO Box 750
Scranton, PA 18501-0750
Phone (570) 346-7797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1135801 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487635082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185010750",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH AND HIGHLAND STS",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "17044",
"telephone_number": "570-346-7797",
"fax_number": "570-342-9802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GMT PATHOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRIVEDI",
"authorized_official_first_name": "GOPALKRISHA",
"authorized_official_title_or_position": "HEAD OF GROUP",
"authorized_official_telephone_number": "570-346-7797",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1135801",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.