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

Last updated

Aug 23, 2018By 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

Dr. Derek K Marsee, MD.,PH.DNPI 1952592743

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

Locations

Practitioners 6

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.

• Derek Kevin Marsee, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
  • NPI 1952592743
  Authorized official Same address or phone
• 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": "",
            "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 (Diamond Residential)
• Diana J Klymman
• Diana Wright, Psy.D., LLC (Mind and Body Counseling Associates)

• 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.