Organization Active NPI

Consultants in Pathology, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wilkesboro, NC
National Provider Identifier
1841281664
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
36016 Issued in NC
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01953OtherNCBCBS
8901953MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.