Active NPI
Brian Andrus Pahn, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 5101026175
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855-4550 - Phone
- (906) 449-3246
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 5101026175 | MI | Primary |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Mailing address
350 W 11TH St
Iu Health Pathology Lab
Indianapolis, IN 46202-4108
Phone (317) 491-6213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679836019 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 225-7662
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026175 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Laboratories of Marquette, PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
5700 Southwyck Blvd
Toledo, OH 43614
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Marquette, MI
- NPI 1285681155
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
- Critical Access Hospital
- Manistique, MI
- NPI 1700805157
-
dba OSF Healthcare St. Francis Hospital & Medical Group
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1679836019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 11TH ST",
"address_2": "IU HEALTH PATHOLOGY LAB",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024108",
"telephone_number": "317-491-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554550",
"telephone_number": "906-449-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHN",
"first_name": "BRIAN",
"middle_name": "ANDRUS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "5101026175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679836019",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.