Active NPI
Semo Pathology Group
- Anatomic Pathology & Clinical Pathology Physician
- Sikeston, MO
National Provider Identifier
1790703577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SEMO PATHOLOGY GROUP
- Practice address
- 6 Mini Dr
Suite 102
Sikeston, MO 63801-5134 - Phone
- (314) 487-9737
- NPI assigned
- Jul 18, 2006
- 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
- Birgit Ann James
- Title
- HR Director
- Phone
- (512) 238-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
6 Mini Dr
Suite 102
Sikeston, MO 63801-5134
Mailing address
PO Box 163584
Austin, TX 78716-3584
Phone (314) 487-9737
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1728 | Other | MO | BLUE CROSS ALLIANCE |
| 103863 | Other | MO | HEALTHLINK |
| 105288 | Other | MO | BLUE CROSS ALLIANCE |
National Provider Directory
National Provider DirectoryLocations
6 Mini Dr
Ste 102
Sikeston, MO 63801
Phone (314) 487-9737
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Pathology/Laboratory Medicine Physician
- Buffalo, NY
- NPI 1922069897
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790703577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163584",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787163584",
"telephone_number": "314-487-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MINI DR",
"address_2": "SUITE 102",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015134",
"telephone_number": "314-487-9737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEMO PATHOLOGY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "BIRGIT",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "HR DIRECTOR",
"authorized_official_telephone_number": "512-238-3100"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALLIANCE",
"identifier": "1728",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "103863",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALLIANCE",
"identifier": "105288",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- 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.