Organization Active NPI

Clinch Pathology Associates PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Richlands, VA
National Provider Identifier
1699774273
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
CLINCH PATHOLOGY ASSOCIATES PC
Practice address
6801 Governor GC Peery Hwy
Richlands, VA 24641-2194
Phone
(276) 596-6196
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Dr. Dorid K. Turjman, MDNPI 1346249950
Title
MD/President
Phone
(276) 596-6196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6801 Governor GC Peery Hwy
Richlands, VA 24641-2194

Mailing address

PO Box 409
Bluefield, WV 24701-0409

Other identifiers 4

IdentifierTypeStateIssuer
CN8990OtherRAILROAD MEDICARE
0011219000MedicaidWV
010031600OtherFEDERAL BLACK LUNG
282984OtherVAANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001085 VA Part B Supplier - Clinic/Group Practice 4385633676 Receives reassigned benefits from 1 practitioner
Practice locations: Richlands, VA; Grundy, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1699774273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 GOVERNOR GC PEERY HWY",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412194",
            "telephone_number": "276-596-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCH PATHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "TURJMAN",
        "authorized_official_first_name": "DORID",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "276-596-6196",
        "authorized_official_name_prefix": "Dr.",
        "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": "RAILROAD MEDICARE",
            "identifier": "CN8990",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011219000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "010031600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "282984",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.