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

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, MD

Title

President

Phone

(812) 471-1591

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 3

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

• Sarah Ann Higdon, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Owensboro, KY
  • NPI 1821403668

  Anatomic Pathology & Clinical Pathology, KY

  Medicare reassignment NPD
• Charles Jason Mills, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Owensboro, KY
  • NPI 1952565285

  Anatomic Pathology & Clinical Pathology, KY

  Medicare reassignment NPD
• Brian E Ward, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hartford, KY
  • NPI 1578552600

  Anatomic Pathology & Clinical Pathology, KY

  Medicare reassignment NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65913162",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owensboro Medical Practice Laboratory
• Owensboro Medical Practice, PLLC
• Owensboro Medical Practice, PLLC
• Owensboro Medical Practice, PLLC
• Owensboro Orthopedic Clinic Inc
• Owensboro Pediatrics LLC
• Owensboro Pharmacy, LLC
• Owensboro Psychiatric Group PLLC
• Owensboro Surgical PLLC
• Owensboro Urology PSC

• All providers in Owensboro, KY
• 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.