NPIMap

Organization Active NPI

Palm Beach Pathology, PA

Doing business as Good Samaritan Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
National Provider Identifier
1922273317
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PALM BEACH PATHOLOGY, PA
Doing business as
Good Samaritan Pathology Associates
Practice address
1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone
(954) 240-9555
Fax
(770) 776-5966
NPI assigned
Apr 25, 2008
Last updated
Aug 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Dr. Thomas A Bolton, MDNPI 1871574665
Title
President
Phone
(954) 240-9555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Mailing address

PO Box 4117
West Palm Beach, FL 33402-4117
Phone (954) 240-9555

Other identifiers 2

IdentifierTypeStateIssuer
99071OtherFLBLUE CROSS BLUE SHIELD
258264300MedicaidFL

Other names 1

  • Good Samaritan Pathology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914001076 FL Part B Supplier - Clinic/Group Practice 1658350350 Receives reassigned benefits from 8 practitioners
Practice locations: West Palm BCH, FL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Palm Beach Pathology PA

    dba St. Marys Pathology Associates

    • Anatomic Pathology & Clinical Pathology Physician
    • West Palm Beach, FL
    • NPI 1912172024

    1658350350

    Same PAC ID
  • Palm Beach Pathology, PA

    dba Palm Beach Gardens Pathology Assocciates

    • Anatomic Pathology & Clinical Pathology Physician
    • Palm Beach Gardens, FL
    • NPI 1720253198

    1658350350

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Pathology 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.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1922273317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4117",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334024117",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "954-240-9555",
            "fax_number": "770-776-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-240-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99071",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258264300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Pathology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.