Organization Active NPI

Pepper Path LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Sterling, VA
National Provider Identifier
1891192209
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PEPPER PATH LLC
Practice address
45945 Trefoil LN
Unit 175
Sterling, VA 20166-4343
Phone
(571) 375-0755
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Dr. Dana A Hill, MD
Title
Physician/Member
Phone
(571) 375-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

45945 Trefoil LN
Unit 175
Sterling, VA 20166-4343

Mailing address

45945 Trefoil LN
Unit 175
Sterling, VA 20166-4343
Phone (571) 375-0755

National Provider Directory

National Provider Directory

Locations

45945 Trefoil Ln
Ste 175
Sterling, VA 20166
Phone (202) 476-2051

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1891192209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45945 TREFOIL LN",
            "address_2": "UNIT 175",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201664343",
            "telephone_number": "571-375-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45945 TREFOIL LN",
            "address_2": "UNIT 175",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201664343",
            "telephone_number": "571-375-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPER PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/MEMBER",
        "authorized_official_telephone_number": "571-375-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.