Organization Active NPI

Enid Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Enid, OK
National Provider Identifier
1689604571
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ENID PATHOLOGY CONSULTANTS INC
Practice address
1204 W. Willow Road Ste C
Enid, OK 73703
Phone
(580) 237-0171
Fax
(580) 237-0412
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Mr. Joe E. Snodgrass, M.D.
Title
President
Phone
(580) 237-0171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 19325 OK
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1204 W. Willow Road Ste C
Enid, OK 73703

Mailing address

1204 W. Willow Road Ste C
Enid, OK 73703
Phone (580) 237-0171

Other identifiers 1

IdentifierTypeStateIssuer
100737320AMedicaidOK

National Provider Directory

National Provider Directory

Locations

2609 N Van Buren St
Enid, OK 73703
Phone (580) 237-0171

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1689604571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W. WILLOW ROAD STE C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-237-0171",
            "fax_number": "580-237-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W. WILLOW ROAD STE C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "73703",
            "telephone_number": "580-237-0171",
            "fax_number": "580-237-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID PATHOLOGY CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-237-0171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "19325",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100737320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.