NPIMap

Organization Active NPI

Manatee Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1912290248
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME31656 Issued in FL
Legal business name
MANATEE PATHOLOGY ASSOCIATES PA
Practice address
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone
(305) 666-2427
Fax
(305) 666-1065
NPI assigned
May 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Thomas Farrell
Title
Owner
Phone
(305) 665-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X ME31656 FL Primary

Addresses

Primary practice location

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174

Mailing address

1500 San Remo Ave
Suite 280
Coral Gables, FL 33146-3043
Phone (305) 666-2427

Other identifiers 1

IdentifierTypeStateIssuer
273956901MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Manatee Pathology Associates PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1912290248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SAN REMO AVE",
            "address_2": "SUITE 280",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331463043",
            "telephone_number": "305-666-2427",
            "fax_number": "305-666-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LAKEWOOD RANCH BLVD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025174",
            "telephone_number": "305-666-2427",
            "fax_number": "305-666-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE PATHOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-665-4614"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME31656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273956901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.