Pathology & Forensic Consultants LLC

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

Legal business name

PATHOLOGY & FORENSIC CONSULTANTS LLC

Practice address

700 Broadway
Fort Wayne, IN 46802

Phone

(260) 425-3762

Fax

(260) 425-3298

NPI assigned

Jul 4, 2006

Last updated

Jul 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pramod K Carpenter, MD

Title

President

Phone

(260) 969-1950

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 2

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.

• Pamela A Coleman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1316123987
  NPD (past)
• Amy Bronwyn Frey, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Cincinnati, OH
  • NPI 1528233939
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1720018773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10480",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46852",
            "telephone_number": "260-969-1950",
            "fax_number": "260-918-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46802",
            "telephone_number": "260-425-3762",
            "fax_number": "260-425-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY & FORENSIC CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-969-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673790",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673816",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000487821",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF4174",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200825690A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673807",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mystery Dawn Patell
• Andrea Patete, DO
• Path Forward Therapy
• Lakshmi Devi Pathai, M.D
• Pathlink Care Solutions
• Pathway ABA LLC
• Smitha Patibandla, MD
• Patient First Rehabilitation LLC
• Patients Choice Medical and Wellness Clinic
• Alaina C Patrick

• Forensic Pathology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Forensic Pathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.