Active NPI
Timothy M Kilpatrick, MD
- Dermatopathology (Pathology) Physician
- King, NC
National Provider Identifier
1902885783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- ME48205
- Practice address
- 2298 Slate Rd
King, NC 27021-8042 - Phone
- (800) 226-8968
- Fax
- (407) 551-5259
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME48205 | FL | Primary |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25343 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME0048205 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 25343 | NC |
Addresses
Primary practice location
2298 Slate Rd
King, NC 27021-8042
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25343 | NC | MD | Pharmacist |
| ME48205 | FL | MD | Dermatopathology (Pathology) Physician |
| ME0048205 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Florida LLC | Past | Accepting new patients | |
| Ameripath Florida LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AmeriPath South Florida
- Clinical Medical Laboratory
- Pompano Beach, FL
- NPI 1952381477
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1902885783",
"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": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2298 SLATE RD",
"city": "KING",
"state": "NC",
"postal_code": "270218042",
"telephone_number": "800-226-8968",
"fax_number": "407-551-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "TIMOTHY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME48205",
"primary": true
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "NC",
"license": "25343",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME0048205",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "25343",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in King, NC
- Peter W Jung, MD
- Candice Puckett Key, FNPC
- Andrew Kiger, DPT
- Sydney Grace Shelton Kiger, MA, LCMHCA
- Kilpatrick Pathology PA
- King Dialysis Center of Wake Forest University (King Dialysis Center)
- King Drug Co., LLC (King Drug Co)
- King Medical Associates
- King Medical Transport, Inc.
- King Operator LLC (King Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.