Active NPI
Consultants in Pathology, Inc.
- Anatomic Pathology & Clinical Pathology Physician
- Wilkesboro, NC
National Provider Identifier
1841281664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 36016
- Legal business name
- CONSULTANTS IN PATHOLOGY, INC.
- Practice address
- 100 N Bridge St Ste a
Wilkesboro, NC 28697-2488 - Phone
- (336) 838-9550
- NPI assigned
- Nov 1, 2005
- Last updated
- Jul 23, 2010
- 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
- Dr. Wendell Lewis Randall, M.D.
- Title
- Medical Director
- Phone
- (336) 838-9550
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 36016 | NC | |
| Anatomic Pathology Physician | 207ZP0101X | 36016 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 36016 | NC | Primary |
Addresses
Primary practice location
100 N Bridge St Ste a
Wilkesboro, NC 28697-2488
Mailing address
PO Box 1239
Wilkesboro, NC 28697-1239
Phone (336) 838-9550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01953 | Other | NC | BCBS |
| 8901953 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
300 Lindsay St
Ste 100
High Point, NC 27262
Phone (336) 838-9546
1531 Westbrook Plaza Dr
Ste F
Winston Salem, NC 27103
Phone (336) 768-2350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279843200000",
"number": "1841281664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1239",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286971239",
"telephone_number": "336-838-9550",
"fax_number": "336-838-9536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BRIDGE ST STE A",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286972488",
"telephone_number": "336-838-9550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSULTANTS IN PATHOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-01",
"last_updated": "2010-07-23",
"status": "A",
"authorized_official_last_name": "RANDALL",
"authorized_official_first_name": "WENDELL",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "336-838-9550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NC",
"license": "36016",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NC",
"license": "36016",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "36016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01953",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901953",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkesboro, NC
- Ronald Ernest Cohn, DC
- Elizabeth C Coleman, EDS, LPC, NCC
- College Street Operating Company, LLC (Ridge Valley Center for Nursing and Rehabilitation)
- Community Home Care & Hospice, LLC (Gentiva)
- Community Home Care and Hospice, LLC (Wake Forest Baptist Health Care at Home Hospice-Wilkes)
- Continuum II Home Health & Hospice, Inc. (Continuum Home Care of Wilkesboro)
- Tonya Cook
- County of Wilkes (Wilkes County Health Department)
- County of Wilkes (Wilkes County Emergency Medical Services)
- County of Wilkes (Wilkes County DSS)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.