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ST VINCENTS PATHOLOGY ASSOCIATES PA
NPI 1114074200
Pathology - Anatomic Pathology & Clinical Pathology in Jacksonville, FL

Active since January 04, 2007
1 SHIRCLIFF WAY, DEPT OF PATHOLOGY, JACKSONVILLE, FL 32204(904) 308-7300(904) 308-2970 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Jan 2, 2019, Oct 8, 2018 (3 updates tracked since 2018).

About St Vincents Pathology Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST VINCENTS PATHOLOGY ASSOCIATES PA (NPI 1114074200) is a healthcare organization registered as an anatomic pathology & clinical pathology in Jacksonville, Florida and active in the NPI registry since January 2007. The organization lists Don Bernard Destephano, President, as its authorized official.

NPPES Registry Identity

NPI1114074200
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameST VINCENTS PATHOLOGY ASSOCIATES PA
Location Address1 SHIRCLIFF WAY, DEPT OF PATHOLOGYJacksonville, FL 32204-4748
Mailing AddressPo Box 144333Orlando, FL 32814-4333 · (407) 422-9831 · Fax (855) 671-4753
Phone(904) 308-7300
Fax(904) 308-2970
Organization SubpartNo
Authorized OfficialDon Bernard DestephanoPresident · (904) 308-7300
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1114074200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Vincents Pathology Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to St Vincents Pathology Associates PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Arthur Jones, M.D.
Pathology
NPI 1790865467
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-3813
✔ PECOS✔ Accepts MedicareSame address
Bryan Keenan, MD
Pathology
NPI 1033311758
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-3813
✔ PECOS✔ Accepts MedicareSame address
David Steinberg, MD
Pathology
NPI 1962585463
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-3813
✔ PECOS✔ Accepts MedicareSame address
Anne Bernstein, MD
Pathology
NPI 1831246511
1 SHIRCLIFF WAY DEPT OF PATHOLOGY
Jacksonville, FL 32204
(904) 308-3813
✔ PECOS✔ Accepts Medicare1.3 mi
Michael Lehman, M.D.
Pathology
NPI 1386616779
1 SHIRCLIFF WAY DEPT OF PATHOLOGY
Jacksonville, FL 32204
(904) 308-3825
✔ PECOS✔ Accepts Medicare1.3 mi
Colby Cantu, MD
Pathology
NPI 1790170819
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-3813
✔ PECOS✔ Accepts Medicare6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Vincents Pathology Associates PA's NPI number?

The NPI number for St Vincents Pathology Associates PA is 1114074200. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is St Vincents Pathology Associates PA located?

St Vincents Pathology Associates PA is located at 1 Shircliff Way Dept Of Pathology, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is St Vincents Pathology Associates PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is St Vincents Pathology Associates PA enrolled in Medicare?

Yes. St Vincents Pathology Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Vincents Pathology Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Pathology, reassign their Medicare billing to St Vincents Pathology Associates PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for St Vincents Pathology Associates PA was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.