Organization Active NPI

Semo Pathology Group

  • Anatomic Pathology & Clinical Pathology Physician
  • Sikeston, MO
National Provider Identifier
1790703577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1728OtherMOBLUE CROSS ALLIANCE
103863OtherMOHEALTHLINK
105288OtherMOBLUE CROSS ALLIANCE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.