Organization Active NPI

Mainland Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Texas City, TX
National Provider Identifier
1750365474
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
MAINLAND PATHOLOGY ASSOCIATES PA
Practice address
6807 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone
(713) 481-3545
Fax
(713) 432-0221
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Jameela Ahmeduddin, MD
Title
Authorized Rep.
Phone
(713) 481-3545

Specialties & licenses 1

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

Addresses

Primary practice location

6807 Emmett F Lowry Expy
Texas City, TX 77591-2500

Mailing address

PO Box 420998
Houston, TX 77242-0998

Other identifiers 1

IdentifierTypeStateIssuer
CI2354OtherTXRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

6807 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 908-9555

6807 Emmett F Lowry Expy
Ste 301
Texas City, TX 77591
Phone (409) 933-3433

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1750365474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420998",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772420998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 EMMETT F LOWRY EXPY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912500",
            "telephone_number": "713-481-3545",
            "fax_number": "713-432-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "AHMEDUDDIN",
        "authorized_official_first_name": "JAMEELA",
        "authorized_official_title_or_position": "AUTHORIZED REP.",
        "authorized_official_telephone_number": "713-481-3545",
        "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": "CI2354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.