Active NPI
Anthony Frank Isele, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Albany, GA
National Provider Identifier
1912234501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 013634
- Practice address
- 1913 Devon Dr
Albany, GA 31721-2986 - Phone
- (229) 439-9073
- NPI assigned
- Nov 3, 2009
- Last updated
- Nov 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 013634 | GA | Primary |
Addresses
Primary practice location
1913 Devon Dr
Albany, GA 31721-2986
Mailing address
PO Box 71405
Albany, GA 31708-1405
Phone (229) 439-9073
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13634 | GA | MD | Dermatology Physician |
| 013634 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1912234501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71405",
"city": "ALBANY",
"state": "GA",
"postal_code": "317081405",
"telephone_number": "229-439-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 DEVON DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317212986",
"telephone_number": "229-439-9073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISELE",
"first_name": "ANTHONY",
"middle_name": "FRANK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "013634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.