Upstate Pathology, PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

UPSTATE PATHOLOGY, PA

Practice address

1 Saint Francis Dr
Greenville, SC 29601-3955

Phone

(864) 322-4167

NPI assigned

Sep 28, 2007

Last updated

Oct 16, 2007By 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

John Thomas Latham Jr., MDNPI 1396895249

Title

Pathologist

Phone

(864) 322-4167

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 5

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.

• John Thomas Latham Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1396895249
  Medicare reassignment NPD Authorized official
• Charles A. Nicholson III, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1669400560
  Medicare reassignment NPD
• Valentin Gheorghe Robu, MD, PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1124172275
  Medicare reassignment NPD
• Donald Craver Swing Jr.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1316127905
  Medicare reassignment NPD
• Thomas Edmond Rosenzweig, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
  • NPI 1447388822
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1801083316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9280",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296049280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT FRANCIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013955",
            "telephone_number": "864-322-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "LATHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "864-322-4167",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0741",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upstate Living Clinic LLC (Greenville Relationship Institute)
• Upstate Living Water, LLC
• Upstate Maternal-Fetal Medicine, PA
• Upstate Medical Rehabilitation
• Upstate Palmetto Radiology PC (Palmetto Radiology PC)
• Upstate Pediatric Dentistry, PA
• Upstate Pharmacy Ima
• Upstate Prosthetics LLC
• Upstate Prosthodontics, L.L.C.
• Upstate Psychiatry, PA

• Anatomic Pathology & Clinical Pathology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.