NPIMap

Organization Active NPI

Naples Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Naples, FL
National Provider Identifier
1679547756
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
NAPLES PATHOLOGY ASSOCIATES PA
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(813) 263-5107
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Thomas Jewell, MD
Title
President Naples Pathology Assoc
Phone
(239) 263-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

PO Box 166324
Miami, FL 33116-6324
Phone (239) 436-5104

Other identifiers 2

IdentifierTypeStateIssuer
RR MEDICAREOtherP00165888
056065100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040308000286 FL Part B Supplier - Independent Clinical Laboratory 7416845938 Practice locations: Naples, FL
O20050616000295 FL Part B Supplier - Clinic/Group Practice 7416845938 Receives reassigned benefits from 13 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory
Tax ID family
Naples Pathology Associates PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

20 12th St N
Naples, FL 34102
Phone (239) 263-1777

4351 Tamiami Trl N
Naples, FL 34103
Phone (239) 263-1777

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1679547756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166324",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331166324",
            "telephone_number": "239-436-5104",
            "fax_number": "239-436-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "813-263-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT NAPLES PATHOLOGY ASSOC",
        "authorized_official_telephone_number": "239-263-1777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00165888",
            "identifier": "RR MEDICARE",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056065100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.