Anderson Pathologists Inc. PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ANDERSON PATHOLOGISTS INC. PC

Practice address

2015 Jackson St
Anderson, IN 46016-4337

Phone

(765) 646-8433

Fax

(765) 683-2528

NPI assigned

Dec 9, 2005

Organization subpart

No

Name

Gregory H Ellis, M.D.

Title

President

Phone

(765) 646-8433

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

• Patrick C Kippenbrock, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Anderson, IN
  • NPI 1598740334
  NPD (past)
• Mark C Mills, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Anderson, IN
  • NPI 1669560462
  NPD (past)
• Glenn Rudolph Schwenk Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Carmel, IN
  • NPI 1831199835
  NPD (past)
• David H Soper, MD

  • Emergency Medicine Physician
  • Anderson, IN
  • NPI 1114922929
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2008.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1750366993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860040",
            "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": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337",
            "telephone_number": "765-646-8433",
            "fax_number": "765-683-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PATHOLOGISTS INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-646-8433",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS",
            "identifier": "CB8100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000085495",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anderson General Surgery, PC
• Anderson Integrative Health Center Inc
• Anderson Laser Eye Center
• Anderson Optical, Inc
• Anderson Oral and Maxillofacial Surgery
• Anderson Pediatric Dentistry
• Anderson Post Acute, LLC
• Anderson Psychiatric Clinic LLC
• Anderson Urologic Associates, P.C.
• Anderson Westend Dental LLC

• All providers in Anderson, IN
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.