Palm Beach Pathology PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PALM BEACH PATHOLOGY PA

Practice address

2013 Ponce Deleon Ave
Palm Beach Pathology PA
West Palm Beach, FL 33407-6019

Phone

(561) 659-0770

Fax

(561) 802-3504

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Abis, MD

Title

President

Phone

(561) 659-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Marys Pathology Associates Doing business as

Locations

Practitioners 3

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

• Sanford Allen Mullen Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
  • NPI 1154303469
  NPD (past)
• Mark G Phillips, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
  • NPI 1063494375
  NPD (past)
• Alan S Sara, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
  • NPI 1962484279
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1619951621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BUTLER STREET",
            "address_2": "PALM BEACH PATHOLOGY PA",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076006",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PONCE DELEON AVE",
            "address_2": "PALM BEACH PATHOLOGY PA",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076019",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ABIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-659-0770",
        "authorized_official_name_prefix": "Mr.",
        "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": "258264300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Marys Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anatomic Pathology & Clinical Pathology Physician in West Palm Beach, FL
• Providers in West Palm Beach, 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 May 7, 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.