Active NPI
Enid Pathology Consultants Inc
- Anatomic Pathology & Clinical Pathology Physician
- Enid, OK
National Provider Identifier
1689604571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19325 | OK | |
| Anatomic Pathology & Clinical Pathology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100737320A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.