Active NPI
Mayfield Pathology Services PSC
- Anatomic Pathology & Clinical Pathology Physician
- Mayfield, KY
National Provider Identifier
1891769683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 200247
- Legal business name
- MAYFIELD PATHOLOGY SERVICES PSC
- Practice address
- 1099 Medical Center Circle
Mayfield, KY 42066 - Phone
- (270) 251-4520
- Fax
- (270) 251-4521
- NPI assigned
- Feb 16, 2006
- 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. Henry Viles, MD
- Title
- President
- Phone
- (270) 251-4116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 200247 | KY | Primary |
Addresses
Primary practice location
1099 Medical Center Circle
Mayfield, KY 42066
Mailing address
1029 Medical Center Circle
Suite 405
Mayfield, KY 42066
Phone (270) 251-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37000213 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1029 Medical Center Cir
Ste 405
Mayfield, KY 42066
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Paducah, KY
- NPI 1265407100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891769683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 MEDICAL CENTER CIRCLE",
"address_2": "SUITE 405",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "42066",
"telephone_number": "270-251-4520",
"fax_number": "270-251-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 MEDICAL CENTER CIRCLE",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "42066",
"telephone_number": "270-251-4520",
"fax_number": "270-251-4521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFIELD PATHOLOGY SERVICES PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILES",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-251-4116",
"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": "KY",
"license": "200247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "37000213",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.