St Lukes Pathology Associates PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D1043646 Issued in MO

Legal business name

ST LUKES PATHOLOGY ASSOCIATES PA

Practice address

10101 Renner Blvd
Suite a
Lenexa, KS 66219-9752

Phone

(866) 455-5305

Fax

(866) 691-5318

NPI assigned

Feb 3, 2006

Organization subpart

Yes

Parent organization

AMERIPATH INC.As reported in NPPES

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

Authorized official

Name

Dr. Edward M Kramer

Title

VP

Phone

(610) 550-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher J Kligora, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rome, GA
  • NPI 1588667380
  NPD (past)
• Jeffrey A. Mossler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Indianapolis, IN
  • NPI 1639156847
  NPD (past)
• Barbara Shideler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Port Charlotte, FL
  • NPI 1104892348
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1891767844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "telephone_number": "866-455-5305",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 RENNER BLVD",
            "address_2": "SUITE A",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662199752",
            "telephone_number": "866-455-5305",
            "fax_number": "866-691-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-02-03",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "610-550-3000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D1043646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891767844",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100213130A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Spriggs
• Spring Back PT, LLC
• Amaya Spring
• Chantel A Sramek Braasch, D.C,, B.S.
• Brett William Sramek, DO
• Lisa Jane St. Aubyn, LSCSW
• Stefani Stakley
• Donald Jullian Stallard Jr., MD
• Timothy C Stallard, PA
• Mary Stanley, M.A. CCC SLP

• Clinical Medical Laboratory in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Clinical Medical Laboratory in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.