Southern Ohio Pathology Consultants Inc
Organization Active NPI Anatomic Pathology & Clinical Pathology Physician · Cincinnati, OH
NPI 1831173202 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1831173202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- Legal business name
- SOUTHERN OHIO PATHOLOGY CONSULTANTS INC
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 872-1400
- NPI assigned
- Nov 30, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas W. Panke, M.D.
- Title
- President
- Phone
- (513) 872-1400
Practitioners 93
-
Jamen Rick Bartlett, M.D.
-
Matthew Bramlage, M.D.
-
Elias A Castilla, M.D.
-
Ming Jin, MD
-
Sean M Kirby, M.D.
-
Ellen Frances Krasik, MD/PHD
-
Sajini Mathew, M.D.
-
George K Mutema, M.D.
-
Abraham Philip, M.D.
-
Rachel Marie Roth, M.D.
-
Megan Christine Smith, M.D.
-
Sabra Marie Abner, M.D.
-
Shiyama Mudali, M.D.
-
James B Farnum, M.D.
-
John R Svirbely, M.D.
-
Cynthia D Westermann, M.D.
-
Richard William Bauer, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602000357 | OH | Part B Supplier - Clinic/Group Practice | 3971585217 |
Receives reassigned benefits from 19 practitioners Practice locations: Fairfield, OH; Cincinnati, OH; Batavia, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | Yes |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
PO Box 632242
Cincinnati, OH 45263-2242
Phone (800) 503-6254
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1041 | Other | OH | RAILROAD MEDICARE |
| 000000016917 | Other | OH | BCBS |
| 65923773 | Medicaid | KY | |
| 2076784 | Medicaid | OH |
Other providers in Cincinnati, OH
- Abigail Faith Southall
- Anna Bacot Southard
- Deborah Lynn Southerland
- Marla Southerland
- Southern Ohio Eye Physicians,Inc.
- Emily Southman
- Southwest Healthcare Services LLC
- Southwest Ohio Anesthesia Consultants
- Southwest Ohio Anesthesia Consultants LLC
- Southwest Ohio Anesthesia Consultants LLC
All providers in Cincinnati, OH · Anatomic Pathology & Clinical Pathology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.