Pathology Associates of Boone PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

34026 Issued in NC

Legal business name

PATHOLOGY ASSOCIATES OF BOONE PC

Practice address

336 Deerfield Rd
Boone, NC 28607-5008

Phone

(828) 262-4100

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Brent Dwaye Hall, M.D.

Title

President

Phone

(828) 262-4106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1497718100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1867",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247015867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075008",
            "telephone_number": "828-262-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY ASSOCIATES OF BOONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "DWAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-262-4106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "34026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890219F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Parks, MS, RD, LDN
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• Adrianna Parson, DPT
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• Suzette Leigh Patterson, LPC
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• Katherine Pearson, DO
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• Anatomic Pathology & Clinical Pathology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.