Jeannette Diagnostic Pathology Inc

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

JEANNETTE DIAGNOSTIC PATHOLOGY INC

Practice address

600 Jefferson Ave
Jeannette, PA 15644-0600

Phone

(724) 527-3551

Fax

(724) 527-6519

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Primo V Bautisia, MD

Title

President

Phone

(724) 527-6517

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Primo V Bautista, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jeannette, PA
  • NPI 1154316081
  NPD (past)
• Gerald A Harster, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jefferson Hills, PA
  • NPI 1255329629
  NPD (past)
• Mandiga V Rao, MD

  • Anesthesiology Physician
  • Jeannette, PA
  • NPI 1649265588
  NPD (past)
• Susan Tranchine, CRNA

  • Certified Registered Nurse Anesthetist
  • Jeannette, PA
  • NPI 1134191109
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497708010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "GRAPEVILLE",
            "state": "PA",
            "postal_code": "15634",
            "telephone_number": "724-527-6517",
            "fax_number": "724-527-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156440600",
            "telephone_number": "724-527-3551",
            "fax_number": "724-527-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE DIAGNOSTIC PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISIA",
        "authorized_official_first_name": "PRIMO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-527-6517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019160310002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Izzo Foot and Ankle PC
• Louis G Izzo IV, D.P.M.
• Jeannette Anesthesia Group, PC
• Jeannette City School District
• Jeannette Dental Center Inc.
• Jeannette E.M.S., Inc.
• Jeannette Physical Therapy, Inc.
• Jeannette Primary Care
• Jeannette Primary Care
• Jeannette Primary Care

• Clinical Pathology/Laboratory Medicine Physician in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Clinical Pathology/Laboratory Medicine Physician in Pennsylvania

• 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.

Verify at the official NPI Registry.