Northwest Pathology Consultants PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

NORTHWEST PATHOLOGY CONSULTANTS PC

Practice address

44405 Woodward Avenue
St Joseph Mercy Hospital
Pontiac, MI 48341-2985

Phone

(248) 858-3190

Fax

(248) 858-3148

NPI assigned

May 22, 2006

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian EdelmanNPI 1922053537

Title

President

Phone

(248) 858-3190

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Northwest Pathology Consultants PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Northwest Pathology Consultants PC

  • Oral and Maxillofacial Pathology Dentistry
  • Pontiac, MI
  • NPI 1659082402
  NPD tax ID

Practitioners 5

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.

• Brian L Edelman, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1922053537
  Medicare reassignment Care Compare group NPD Authorized official
• Rabei W Bdeir, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1619920634
  Medicare reassignment Care Compare group NPD
• Donald R Peven, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1275563769
  Medicare reassignment Care Compare group NPD
• Vinushree Swamy

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1558656058
  Medicare reassignment Care Compare group NPD
• Sherwin P Imlay, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pontiac, MI
  • NPI 1922035799
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1942254909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482670114",
            "telephone_number": "248-858-3197",
            "fax_number": "248-858-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVENUE",
            "address_2": "ST JOSEPH MERCY HOSPITAL",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412985",
            "telephone_number": "248-858-3190",
            "fax_number": "248-858-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PATHOLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "EDELMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-858-3190",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "220F36272",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0F36272",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Oakland Medical Center (NOMC Physician Services)
• North Oakland Medical Center (NOMC Physician Services)
• North Oakland Medical Center (NOMC Physician Services)
• North Oakland Medical Centers
• Northwest Pathology Consultants PC
• Noura F Mansour MD PLLC
• Candace Novak
• Elizabeth Ann Novak
• Obianuju Pauline Nwamah, DO
• Heather Dawn Nykiel, CRNA

• Anatomic Pathology & Clinical Pathology Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Anatomic Pathology & Clinical Pathology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.