The Pathology Group PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

THE PATHOLOGY GROUP PC

Practice address

5959 Park Ave
Attn: Pathology Dept
Memphis, TN 38119-5200

Phone

(901) 765-2731

Fax

(901) 765-2064

NPI assigned

Feb 15, 2006

Organization subpart

No

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

Authorized official

Name

James P Herald

Title

Billing Manager

Phone

(305) 798-2064

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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

• Louisa Balazs, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1306821400
  Medicare reassignment Care Compare group NPD
• Matthew A Dress, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1538388012
  Medicare reassignment Care Compare group NPD
• Mufaddal Najmuddin, M.D.

  • Anatomic Pathology Physician
  • Memphis, TN
  • NPI 1053725564

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment Care Compare group NPD
• Justin C Adler Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1427024397
  Medicare reassignment Care Compare group
• Allen D Berry III, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1750358685
  Medicare reassignment Care Compare group
• Anne M Jordan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1881764801
  Medicare reassignment Care Compare group
• Fatima Mir

  • Anatomic Pathology & Clinical Pathology Physician
  • Southaven, MS
  • NPI 1548645799

  TN

  Medicare reassignment NPD
• Gina A Johnston, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Germantown, TN
  • NPI 1790759850
  Medicare reassignment
• Sean Klepper, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1316115397
  Medicare reassignment
• Ronald G Stockstill, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
  • NPI 1942274006
  NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1679547749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LEHANE TER APT 219",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085622",
            "telephone_number": "305-798-2064",
            "fax_number": "305-692-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 PARK AVE",
            "address_2": "ATTN: PATHOLOGY DEPT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195200",
            "telephone_number": "901-765-2731",
            "fax_number": "901-765-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PATHOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "HERALD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "305-798-2064"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.