Pakc DSL Inc PS

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

PAKC DSL INC PS

Doing business as

Pathology Associates of Kitsap County

Practice address

3261 NW Mount Vintage Way
Suite 301
Silverdale, WA 98383-6039

Phone

(360) 440-5630

Fax

(360) 440-5669

NPI assigned

Jan 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Keith O Hallman, MD

Title

Vice President

Phone

(360) 744-6736

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Pathology Associates of Kitsap County Doing business as

Practitioners 1

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

• Gregory S Henderson, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Warwick, NY
  • NPI 1407804859
  NPD (past)

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296259200000",
    "number": "1619273240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2171",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983100368",
            "telephone_number": "360-440-5630",
            "fax_number": "360-440-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 NW MOUNT VINTAGE WAY",
            "address_2": "SUITE 301",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836039",
            "telephone_number": "360-440-5630",
            "fax_number": "360-440-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKC DSL INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "360-744-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "154370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "022905001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "KI0446",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS",
            "identifier": "9109177600",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Associates of Kitsap County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley James David Page
• Lok Raj Pahari, MD
• Tracy Paige, PT
• Pain Consultants, PLLC
• Pain Solutions P.S. Inc. (Pain Solutions)
• Robert James Pallow Jr., MD
• Palmer DMD PC
• Erin Rurik Palmer, DMD
• Armaan Pandher
• Paquette Chiropractic, PLLC (West Sound Wellness)

• Anatomic Pathology Physician in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Anatomic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.