Organization Active NPI

Cardinal Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Edwards, CO
National Provider Identifier
1659956944
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CARDINAL PATHOLOGY PC
Practice address
320 Beard Creek Rd
Vail Valley Surgical Center
Edwards, CO 81632-6426
Phone
(970) 945-7564
Fax
(855) 593-7091
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Dr. Robert Macaulay, DR
Title
Owner / Physician
Phone
(970) 945-7564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

320 Beard Creek Rd
Vail Valley Surgical Center
Edwards, CO 81632-6426

Mailing address

PO Box 2725
Glenwood Springs, CO 81602-2725
Phone (970) 945-7564

National Provider Directory

National Provider Directory
Tax ID family
Cardinal Pathology PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1659956944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2725",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816022725",
            "telephone_number": "970-945-7564",
            "fax_number": "855-593-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BEARD CREEK RD",
            "address_2": "VAIL VALLEY SURGICAL CENTER",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326426",
            "telephone_number": "970-945-7564",
            "fax_number": "855-593-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "MACAULAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "970-945-7564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.