Intermountain Pathologists PC

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

INTERMOUNTAIN PATHOLOGISTS PC

Practice address

800 S 3Rd St
Montrose, CO 81401-4212

Phone

(970) 240-7229

Fax

(970) 249-8421

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Michael J. Benziger, MD

Title

Physician/Partner

Phone

(970) 240-7229

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Drs Canfield and Benziger Pathologists PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 3

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

• Jeffrey T Kay, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Montrose, CO
  • NPI 1811331846
  Medicare reassignment Care Compare group NPD
• Nicholas Daniel Radovich, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Montrose, CO
  • NPI 1093744179
  Medicare reassignment Care Compare group NPD
• Thomas M Canfield, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Montrose, CO
  • NPI 1942280268
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1922088772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814022085",
            "telephone_number": "970-765-0818",
            "fax_number": "970-497-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014212",
            "telephone_number": "970-240-7229",
            "fax_number": "970-249-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTAIN PATHOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "BENZIGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "970-240-7229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04004743",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN2806",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD WORKERS MEDICARE",
            "identifier": "CN2806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Canfield and Benziger Pathologists PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Drs Canfield and Benziger Pathologists PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Integrated Dermatology of Montrose, LLC
• Integrated Insight Therapy, LLC
• Integrated Insight Therapy, LLC
• Integrated Insight Therapy, LLC
• Intermountain Medical Group Grand Junction, LLC
• Emily Izzo
• Andrea Lee Jaeger, CMT, CMMP
• James Construction
• Kieran M Jay, MD
• Jeffrey J Krebs, DO, PC

• Clinical Pathology/Laboratory Medicine Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Clinical Pathology/Laboratory Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.