Owensboro Pathology PSC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

OWENSBORO PATHOLOGY PSC

Practice address

811 E Parrish Ave
Owensboro, KY 42303-3258

Phone

(812) 471-1591

Fax

(812) 471-6650

NPI assigned

Oct 19, 2005

Last updated

Mar 29, 2013By 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

David S Graham, MDNPI 1669461794

Title

President

Phone

(812) 471-1591

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 4

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.

• Sarah Ann Higdon, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Owensboro, KY
  • NPI 1821403668
  Medicare reassignment NPD
• Charles Jason Mills, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Owensboro, KY
  • NPI 1952565285
  Medicare reassignment NPD
• Brian E Ward, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hartford, KY
  • NPI 1578552600
  Medicare reassignment NPD
• David S Graham, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Owensboro, KY
  • NPI 1669461794
  Authorized official Same address or phone

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1497744718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO PATHOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-471-1591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owensboro Medical Practice Laboratory
• Owensboro Medical Practice, PLLC (Tristate Diagnostic Laboratory)
• Owensboro Medical Practice, PLLC
• Owensboro Medical Practice, PLLC
• Owensboro Orthopedic Clinic Inc
• Owensboro Pediatrics LLC
• Owensboro Pharmacy, LLC (Owensboro Family Pharmacy)
• Owensboro Psychiatric Group PLLC
• Owensboro Surgical PLLC
• Owensboro Urology PSC

• Anatomic Pathology & Clinical Pathology Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.