Phoenix Pathology LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PHOENIX PATHOLOGY LLC

Practice address

One Elizabeth Place
Dayton, OH 45408-0000

Phone

(937) 223-5537

Fax

(937) 223-9979

NPI assigned

Aug 30, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill S Rosset, MD

Title

President

Phone

(937) 223-5537

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1629187778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 9397",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454099397",
            "telephone_number": "937-643-4049",
            "fax_number": "937-223-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454080000",
            "telephone_number": "937-223-5537",
            "fax_number": "937-223-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ROSSET",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-223-5537",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0824059",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent C Phillips, MD
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• Thomas Ryan Phipps, D.D.S.
• Deborah Ann Phlipot, RN
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• Physical Medicine Associates Inc
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• Physician Sleep Diagnostic Centers, LLC
• Physicians & Surgeons Ambulance Service Inc (American Medical Response of Ohio)

• Anatomic Pathology & Clinical Pathology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.