West Suburban Pathology Consultants PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

WEST SUBURBAN PATHOLOGY CONSULTANTS PA

Practice address

6500 Excelsior Blvd
Minneapolis, MN 55426-4702

Phone

(952) 993-5290

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Daly McCoy, MD

Title

Secretary/Treasurer

Phone

(952) 993-5290

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Peter J Benson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Minneapolis, MN
  • NPI 1053372433

  Anatomic Pathology & Clinical Pathology

  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1902865611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385760",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554385760",
            "telephone_number": "952-944-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EXCELSIOR BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554264702",
            "telephone_number": "952-993-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN PATHOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "DALY",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "952-993-5290",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18722WE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Metro Education Program
• West Metro Wellness, PC
• West Point Optical Group
• West River Dental Care
• West Side Community Health Services, Inc.
• Adele Peck West, RN.CDE
• Allison Korell West, M.D.
• Brady Paul West
• Jane H West, M.D.
• Katie West, RN

• All providers in Minneapolis, MN
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.