Palm Beach Pathology PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PALM BEACH PATHOLOGY PA

Doing business as

Martin Pathology Associates

Practice address

300 Hospital Ave
Stuart, FL 34994-2338

Phone

(954) 240-9555

Fax

(770) 776-5966

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Thomas A Bolton, MD

Title

President

Phone

(954) 240-9555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Martin Pathology Associates Doing business as

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1568637932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334024117",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942338",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-240-9555",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77313",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258264300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelin J Pakonis, MSW
• Samantha Pasquale Palacios
• Dianne Renee Palermo, RBT, M.ED & ED.S,
• Kym A Pallatto, PA
• Karen Tola Pallon, BCBA
• Felicity Leigh Palma, LMHC
• Alex Palmer
• Carrie Ann Palmer, M.D.
• Christina Marie Palmeri, CRNA
• Rylee Palocy, RBT

• Anatomic Pathology & Clinical Pathology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.