Active NPI
Arcadia Pathology Network, PLLC
- Anatomic Pathology & Clinical Pathology Physician
- Rutherfordton, NC
National Provider Identifier
1659828366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- ARCADIA PATHOLOGY NETWORK, PLLC
- Practice address
- 288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838 - Phone
- (828) 286-5121
- Fax
- (828) 286-5658
- NPI assigned
- Sep 10, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Hong Catherine Li, M.D.
- Title
- President and Ceo
- Phone
- (888) 258-0188
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
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
- Rutherfordton, NC
- NPI 1114120938
Anatomic Pathology & Clinical Pathology, NC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161227001440 | NC | Part B Supplier - Clinic/Group Practice | 1254612617 |
Receives reassigned benefits from 1 practitioner Practice locations: Clyde, NC; Rutherfordton, NC; Murphy, NC |
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Mailing address
P.O. Box 1715
Kernersville, NC 27285
Phone (888) 258-0188
Other practice location 1
262 Leroy George Dr Pathology
Clyde, NC 28721
Phone (828) 452-8115
Other practice location 2
3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (828) 837-8161
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114120938 | Medicaid | VA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2020.
{
"created_epoch": "1473465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606521600000",
"number": "1659828366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1715",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "27285",
"telephone_number": "888-258-0188",
"fax_number": "336-245-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 S RIDGECREST AVE",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281392838",
"telephone_number": "828-286-5121",
"fax_number": "828-286-5658"
}
],
"practiceLocations": [
{
"address_1": "262 Leroy George Dr Pathology",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "28721",
"country_code": "US",
"telephone_number": "828-452-8115",
"fax_number": "828-452-8922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3990 E US 64 Alt",
"address_purpose": "LOCATION",
"city": "Murphy",
"state": "NC",
"postal_code": "289066843",
"country_code": "US",
"telephone_number": "828-837-8161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARCADIA PATHOLOGY NETWORK, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-10",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "HONG",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "888-258-0188",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114120938",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.