Pediatric and Perinatal Pathology Associates PSC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PEDIATRIC AND PERINATAL PATHOLOGY ASSOCIATES PSC

Practice address

231 E Chestnut St
Pathology Dept
Louisville, KY 40202-1821

Phone

(502) 456-6212

Fax

(502) 456-4440

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert F Debski, MDNPI 1770506438

Title

Laboratory Medical Director

Phone

(502) 456-6212

Specialties & licenses 3

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 6

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

• Robert F Debski, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1770506438
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Catherine Breaux

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1033504873
  Medicare reassignment Care Compare group NPD
• Cynthia Romer Fata, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1013144179
  Medicare reassignment Care Compare group NPD
• Alexandra Gerassimides, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
  • NPI 1245233626
  Medicare reassignment Care Compare group NPD
• Matthew Pierce Thompson, DO

  • Anatomic Pathology Physician
  • Louisville, KY
  • NPI 1568662583
  Medicare reassignment Care Compare group NPD
• Mercia Jeanne Duarte Bezerra Dibe Gondim, M.D.

  • Anatomic Pathology Physician
  • Louisville, KY
  • NPI 1366841389
  Medicare reassignment NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1659306504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY",
            "address_2": "SUITE G71",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171417",
            "telephone_number": "502-456-6212",
            "fax_number": "502-456-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "address_2": "PATHOLOGY DEPT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-456-6212",
            "fax_number": "502-456-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND PERINATAL PATHOLOGY ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "DEBSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LABORATORY MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "502-456-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Pediatric Pathology",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007320A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300039228A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "1050363",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID MONTANA",
            "identifier": "3503214",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909288900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112251",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100232480",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD1685",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1337243",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4281797",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BS",
            "identifier": "000000059971",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Acute Care PSC
• Pediatric Anaesthesia Associates, PSC
• Pediatric and Adult Prompt Care LLC (Metro Urgent Care, LLC)
• Pediatric and Neonatal Specialists
• Pediatric and Neonatal Specialists
• Pediatric Associates of Louisville, PLLC
• Pediatric Associates of Louisville, PLLC
• Pediatric Cardiology Associates
• Pediatric Dental Group of Louisville
• Pediatric Gastroenterology PSC

• Anatomic Pathology & Clinical Pathology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Anatomic Pathology & Clinical Pathology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.