Organization Active NPI

Johnny L. Haley

  • Anatomic Pathology & Clinical Pathology Physician
  • Palestine, TX
National Provider Identifier
1982742367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G4850 Issued in TX
Legal business name
JOHNNY L. HALEY
Doing business as
Palestine Pathology Services
Practice address
2900 S. Loop 256
Palestine, TX 75801
Phone
(903) 731-1143
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Birgit James
Title
HR Director
Phone
(512) 238-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X G4850 TX Primary

Addresses

Primary practice location

2900 S. Loop 256
Palestine, TX 75801

Mailing address

PO Box 54038
New Orleans, LA 70154-4000
Phone (903) 731-1143

Other names 1

  • Palestine Pathology Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982742367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54038",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544000",
            "telephone_number": "903-731-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S. LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-731-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY L. HALEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "BIRGIT",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "512-238-3100"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palestine Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.