Organization Active NPI

Mayfield Pathology Services PSC

  • Anatomic Pathology & Clinical Pathology Physician
  • Mayfield, KY
National Provider Identifier
1891769683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
200247 Issued in KY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
37000213MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.