Active NPI
Ameripath Mississippi, Inc.
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, MS
National Provider Identifier
1821047507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- AMERIPATH MISSISSIPPI, INC.
- Practice address
- 2520 5TH St N
Columbus, MS 39705-2008 - Phone
- (662) 244-1000
- NPI assigned
- May 9, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. Stephen A. Dillemuth
- Title
- Asst Sec / Asst. Treasurer
- Phone
- (561) 712-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
2520 5TH St N
Columbus, MS 39705-2008
Mailing address
7111 Fairway Dr
Suite 400
Palm Beach Gardens, FL 33418-4204
Phone (561) 712-6265
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1821047507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7111 FAIRWAY DR",
"address_2": "SUITE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184204",
"telephone_number": "561-712-6265",
"fax_number": "561-712-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052008",
"telephone_number": "662-244-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIPATH MISSISSIPPI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DILLEMUTH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ASST SEC / ASST. TREASURER",
"authorized_official_telephone_number": "561-712-6200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
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.