Individual provider Active NPI

Richard Ernest Fingerle, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Marietta, GA
National Provider Identifier
1831115567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
023046 Issued in GA
Practice address
833 Campbell Hill St NW
Suite 111
Marietta, GA 30060-1134
Phone
(770) 424-7800
Fax
(770) 426-8572
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 023046 GA Primary

Addresses

Primary practice location

833 Campbell Hill St NW
Suite 111
Marietta, GA 30060-1134

Mailing address

PO Box 60280
Charleston, SC 29419-0280
Phone (770) 424-7808

Other identifiers 2

IdentifierTypeStateIssuer
00379926AMedicaidGA
45038OtherGABLUE CROSS/ BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023046GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Pathology Associates, P.C. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Tri County Pathology Associates Lab Anatomic Pathology & Clinical Pathology PastSince Jan 14, 2008 Accepting new patients

Locations

833 Campbell Hill St NW
Ste 111
Marietta, GA 30060
Phone (770) 237-1556

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831115567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60280",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294190280",
            "telephone_number": "770-424-7808",
            "fax_number": "770-237-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-424-7800",
            "fax_number": "770-426-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINGERLE",
        "first_name": "RICHARD",
        "middle_name": "ERNEST",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "023046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00379926A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "45038",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.