Pacific Pathology Partners, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PACIFIC PATHOLOGY PARTNERS, PLLC

Practice address

3261 NW Mount Vintage Way
Suite 301
Silverdale, WA 98383-6039

Phone

(360) 447-5630

NPI assigned

Mar 10, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory HendersonNPI 1407804859

Title

Medical Director

Phone

(360) 447-5630

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory S Henderson, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Warwick, NY
  • NPI 1407804859
  NPD (past) Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1679871917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983831037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 NW MOUNT VINTAGE WAY",
            "address_2": "SUITE 301",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836039",
            "telephone_number": "360-447-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PATHOLOGY PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-447-5630",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Papich Owen, OTR/L
• Pacific Cataract and Laser Institute, Inc., P.C.
• Pacific Counseling Clinic, Inc.
• Pacific Eyecare of Paulsbo PS (Pacific Optical)
• Pacific Northwest Healthcare (Occupational Medicine Associates of Kitsap)
• Pacific Physical Therapy PLLC
• Karen Alexandra Pacl, CCC-SLP
• Bradley James David Page
• Lok Raj Pahari, MD
• Tracy Paige, PT

• Clinical Medical Laboratory in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.