Pakc DSL Inc PS

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

PAKC DSL INC PS

Practice address

2520 Cherry Ave
Pathology Dept Harrison Medical Center
Bremerton, WA 98310

Phone

(360) 744-6731

Fax

(360) 744-6561

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith O Hallman, MDNPI 1700941325

Title

President

Phone

(360) 792-6736

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 2

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

• Keith O Hallman, MD

  • Anatomic Pathology Physician
  • Bremerton, WA
  • NPI 1700941325
  NPD Authorized official
• David M Bray III, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Bremerton, WA
  • NPI 1528123148
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1891850418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2171",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983100368",
            "telephone_number": "360-271-7274",
            "fax_number": "360-479-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CHERRY AVE",
            "address_2": "PATHOLOGY DEPT HARRISON MEDICAL CENTER",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-744-6731",
            "fax_number": "360-744-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKC DSL INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "HALLMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-792-6736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107287",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KPS",
            "identifier": "9109177600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "KI0446",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "154370",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "022905001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Pacheco, PA-C
• Mark V Paciotti, MD
• Echo Paden
• Sheryda Paja
• Estella Pajarillo, BA
• Jessica Palmer
• Patricia Palmer
• Jeanne Panciera, RD, IBCLC
• Mylan Daniel Panteah
• Tressa Lynn Paquette

• Anatomic Pathology Physician in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Anatomic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.