Physicians Pathology Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

11700 Issued in OK

Legal business name

PHYSICIANS PATHOLOGY INC

Doing business as

Sandra K Dimmitt MD

Practice address

17936 S 273Rd W Ave
Bristow, OK 74010

Phone

(918) 247-6558

Fax

(918) 247-6558

NPI assigned

Feb 2, 2007

Last updated

Aug 22, 2020By 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

Sandra K Dimmitt, MD

Title

Owner

Phone

(918) 247-6558

Specialties & licenses 1

Addresses

Other names 1

• Sandra K Dimmitt MD Doing business as

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760520555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17936 S 273RD W AVE",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "74010",
            "telephone_number": "918-247-6558",
            "fax_number": "918-247-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17936 S 273RD W AVE",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "74010",
            "telephone_number": "918-247-6558",
            "fax_number": "918-247-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIMMITT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-247-6558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandra K Dimmitt MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Outside the Box Speech Services, LLC
• Angi Palmer-Manire, APRN, DNP, FNP-C
• Jay Wade Pettit, D.D.S.
• Pharmology Bristow LLC (Super H Pharmacy)
• Physicians Choice Dialysis of Bristow LLC
• Kaley Pieratt
• Sarah Brooke Pinson, P.A.
• Rainbow Health Care (Rainbow Health Care Community)
• Rainbow Management LLC
• Letha Virginia Ray, D.PH.

• Anatomic Pathology & Clinical Pathology Physician in Bristow, OK
• Providers in Bristow, OK by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oklahoma

• 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.