Individual provider Active NPI

Clovis Warren Pitchford, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Huntsville, AL
National Provider Identifier
1518014497
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD.31610 Issued in AL
Practice address
2904 Westcorp Blvd SW
Suite 107/108
Huntsville, AL 35805-6437
Phone
(256) 533-1480
Fax
(256) 535-0715
NPI assigned
Jan 4, 2007
Last updated
Feb 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2008-0102 NM
Hematology (Pathology) Physician 207ZH0000X MD2008-0102 NM
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD.31610 AL Primary
Hematology (Pathology) Physician 207ZH0000X MD.31610 AL

Addresses

Primary practice location

2904 Westcorp Blvd SW
Suite 107/108
Huntsville, AL 35805-6437

Mailing address

2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6437
Phone (256) 533-1480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130620000639 AL Practitioner - Pathology 4284873357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Vanderbilt University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates, P.C.Group PAC ID 1052396249, 13 clinicians

Practice addresses (Care Compare)

101 Sivley SWRD
Huntsville, AL 35801-4421
Phone (256) 533-1480

2904 Westcorp Blvd
Suite 108
Huntsville, AL 35805-6437

2904 Westcorp Blvd SW
Huntsville, AL 35805-6437
Phone (256) 253-0624

2904 Westcorp Blvd SW
Suite 108
Huntsville, AL 35805-6436

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.05 of 100Reported as group
Quality
84.11
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.31610ALMDHematology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Jul 12, 2013 Accepting new patients

Locations

2904 Westcorp Blvd SW
#107108
Huntsville, AL 35805
Phone (256) 253-0624

2904 Westcorp Blvd SW
Ste 107108
Huntsville, AL 35805
Phone (256) 253-0624

2904 Westcorp Blvd SW
Ste 108
Huntsville, AL 35805
Phone (256) 533-1480

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1518014497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 WESTCORP BLVD SW",
            "address_2": "SUITE 108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056437",
            "telephone_number": "256-533-1480",
            "fax_number": "256-535-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 WESTCORP BLVD SW",
            "address_2": "SUITE 107/108",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358056437",
            "telephone_number": "256-533-1480",
            "fax_number": "256-535-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCHFORD",
        "first_name": "CLOVIS",
        "middle_name": "WARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2008-0102",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "NM",
            "license": "MD2008-0102",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD.31610",
            "primary": true
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "AL",
            "license": "MD.31610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.