Active NPI
Consultant Pathology Service, Inc.
- Dermatopathology (Pathology) Physician
- Gretna, LA
National Provider Identifier
1760587752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- Legal business name
- CONSULTANT PATHOLOGY SERVICE, INC.
- Practice address
- 1141 Whitney Ave # 3
Gretna, LA 70056-5011 - Phone
- (504) 361-3757
- Fax
- (504) 361-3132
- NPI assigned
- Sep 14, 2006
- Last updated
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth B Farris, MD
- Title
- Owner/President
- Phone
- (504) 361-3757
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | |||
| Cytopathology Physician | 207ZC0500X | |||
| Dermatopathology (Pathology) Physician | 207ZD0900X | Primary |
Addresses
Primary practice location
1141 Whitney Ave # 3
Gretna, LA 70056-5011
Mailing address
PO Box 1907
Gretna, LA 70054-1907
Phone (504) 361-3757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131300 | Medicaid | LA | |
| 00015045 | Medicaid | MS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Marrero, LA
- NPI 1437176930
-
- Dermatopathology (Pathology) Physician
- Gretna, LA
- NPI 1043368723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1760587752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1907",
"city": "GRETNA",
"state": "LA",
"postal_code": "700541907",
"telephone_number": "504-361-3757",
"fax_number": "504-361-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 WHITNEY AVE # 3",
"city": "GRETNA",
"state": "LA",
"postal_code": "700565011",
"telephone_number": "504-361-3757",
"fax_number": "504-361-3132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANT PATHOLOGY SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "FARRIS",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "504-361-3757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1131300",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00015045",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.