Organization Active NPI

Masterpath Pathology Consultants, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Port Arthur, TX
National Provider Identifier
1710098199
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MASTERPATH PATHOLOGY CONSULTANTS, P.A.
Practice address
3820 Highway 365 Ste 400
Port Arthur, TX 77642-7565
Phone
(409) 727-2727
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
James Thomas Molina, M.D., PH.D.
Title
President
Phone
(409) 727-2727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary
Clinical Medical Laboratory 291U00000X 45D0707028 TX

Addresses

Primary practice location

3820 Highway 365 Ste 400
Port Arthur, TX 77642-7565

Mailing address

3820 Highway 365 Ste 400
Port Arthur, TX 77642-7565

Other identifiers 2

IdentifierTypeStateIssuer
095206103MedicaidTX
095206101MedicaidTX

National Provider Directory

National Provider Directory

Locations

3820 Highway 365
Ste 400
Port Arthur, TX 77642
Phone (409) 727-2727

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1710098199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365 STE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365 STE 400",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427565",
            "telephone_number": "409-727-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPATH PATHOLOGY CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-727-2727",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D0707028",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095206103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095206101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.