Diagnostic Pathology Medical Group Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC

Practice address

6490 S McCarran Blvd
Bldge E Ste 106
Reno, NV 89509

Phone

(916) 447-6267

Fax

(916) 456-5842

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Derek K Marsee, MD.,PH.D

Title

President

Phone

(916) 447-6267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Diagnostic Pathology Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carson City, NV
  • NPI 1417636093

  O20181127003463

  Same enrollment

Practitioners 5

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

• Susan A Doberneck, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Carson City, NV
  • NPI 1639249022
  NPD
• Jonathan Edward Musicant, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Carmichael, CA
  • NPI 1366412025
  NPD
• Grant Masashi Hayashi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Reno, NV
  • NPI 1962405290
  NPD (past)
• Mark R Wolz, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Carson City, NV
  • NPI 1609946094
  NPD (past)
• John S Abele, MD

  • Anatomic Pathology Physician
  • Sacramento, CA
  • NPI 1063493625
  NPD (past)

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1770064271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "SUITE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-447-6267",
            "fax_number": "916-456-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD",
            "address_2": "BLDGE E STE 106",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509",
            "telephone_number": "916-447-6267",
            "fax_number": "916-456-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "MARSEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-447-6267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.,PH.D"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunwardeep Dhillon, M.D.
• Hardeep Singh Dhindsa, M.D.
• Jasmine Dhindsa, MD
• Carly Alyssa Di Lillo, PA-C
• Daryl Joseph Di Rocco, M.D.
• Diagnostic Pathology Medical Group, Inc.
• Veronica Michelle Diament, BSW
• Diamond Residential Care LLC
• Diana J Klymman
• Diana Wright, Psy.D., LLC

• Anatomic Pathology & Clinical Pathology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Anatomic Pathology & Clinical Pathology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.