Active NPI
Edward J Harrow PTR, Alton Pathology Associates
- Anatomic Pathology & Clinical Pathology Physician
- Alton, IL
National Provider Identifier
1659354678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036055965
- Legal business name
- EDWARD J HARROW PTR, ALTON PATHOLOGY ASSOCIATES
- Practice address
- 1 Memorial Dr
Alton, IL 62002-6722 - Phone
- (618) 463-7410
- Fax
- (618) 463-7641
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward J Harrow
- Title
- M.D.
- Phone
- (618) 463-7410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036055965 | IL | Primary |
Addresses
Primary practice location
1 Memorial Dr
Alton, IL 62002-6722
Mailing address
PO Box 952009
Saint Louis, MO 63195-2009
Phone (314) 821-8055
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000429 | Other | AETNA | |
| 4000541 | Other | AETNA | |
| 117845 | Other | HEALTHLINK | |
| 111193 | Other | GHP | |
| 31740 | Other | GHP | |
| 45307 | Other | GHP | |
| 0006010035 | Other | IL | BCBS |
| 036055965 | Medicaid | IL | |
| 100723 | Other | HEALTHLINK | |
| CL3745 | Other | TRAVELERS | |
| 1107134 | Other | UHC | |
| 5241 | Other | ADVANTRA/GHP |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Alton, IL
- NPI 1205810454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1659354678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 952009",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631952009",
"telephone_number": "314-821-8055",
"fax_number": "314-821-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL DR",
"city": "ALTON",
"state": "IL",
"postal_code": "620026722",
"telephone_number": "618-463-7410",
"fax_number": "618-463-7641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD J HARROW PTR, ALTON PATHOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "HARROW",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "618-463-7410"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036055965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4000429",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4000541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "117845",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "111193",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "31740",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "45307",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0006010035",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036055965",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "100723",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "CL3745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1107134",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA/GHP",
"identifier": "5241",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.