Organization Active NPI

Semc Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Highland, IL
National Provider Identifier
1710964580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
SEMC PATHOLOGY
Practice address
1270 Mercantile Dr
Highland, IL 62249-1256
Phone
(866) 651-8747
Fax
(618) 651-8097
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pamella Gronemeyer, M.D.NPI 1942285010
Title
Owner
Phone
(866) 651-8747

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 MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X IL Primary

Addresses

Primary practice location

1270 Mercantile Dr
Highland, IL 62249-1256

Mailing address

PO Box 191850
Attn Debbie Strauss
Saint Louis, MO 63119-7850
Phone (314) 821-8055

National Provider Directory

National Provider Directory

Locations

1270 Mercantile Dr
Highland, IL 62249
Phone (618) 274-1900

Practitioners & affiliated clinicians

Practitioners 3

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710964580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191850",
            "address_2": "ATTN DEBBIE STRAUSS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631197850",
            "telephone_number": "314-821-8055",
            "fax_number": "314-821-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 MERCANTILE DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491256",
            "telephone_number": "866-651-8747",
            "fax_number": "618-651-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMC PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRONEMEYER",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-651-8747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.