Active NPI
Forward Pathology Solutions Wichita, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Wichita, KS
National Provider Identifier
1962000273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- FORWARD PATHOLOGY SOLUTIONS WICHITA, LLC
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (615) 309-2078
- NPI assigned
- Oct 9, 2020
- Last updated
- Sep 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William Smitham
- Title
- VP of Operations
- Phone
- (303) 584-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU | Primary |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
PO Box 745871
Atlanta, GA 30374-5871
Phone (954) 507-6780
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1962000273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745871",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745871",
"telephone_number": "954-507-6780",
"fax_number": "866-262-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "615-309-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORWARD PATHOLOGY SOLUTIONS WICHITA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-09",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "SMITHAM",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "303-584-8119",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.