Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHOTARO IMAIZUMI M.D.
NPI 1114906302
Pathology - Anatomic Pathology & Clinical Pathology in Wynnewood, PA

Q: What is Shotaro Imaizumi's NPI number?

The NPI number for Shotaro Imaizumi is 1114906302. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Q: What is Shotaro Imaizumi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shotaro Imaizumi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.

Active since January 16, 2006

100 E LANCASTER AVE, WYNNEWOOD, PA 19096(610) 645-2613 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shotaro Imaizumi M.d. NPPES

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

SHOTARO IMAIZUMI M.D. (NPI 1114906302) is an individual anatomic pathology & clinical pathology provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD026155E) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1114906302

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameSHOTARO IMAIZUMICredential: M.D.

Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450

Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (610) 645-2613

Phone(610) 645-2613

Sole ProprietorNo

Enumeration DateJanuary 16, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114906302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in PA · MD026155E

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.

100 E LANCASTER AVE, Wynnewood, PA 19096

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AKHNUWKH JONES M.D.

Internal Medicine

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 645-2000

AMANDA B CHRISTINI MD

Internal Medicine

100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

LAI KWAN LOUIE RPH

Pharmacist

100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096

Montgomery County (610) 658-8640

DANIEL WANG MD

Internal Medicine

100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

SARAH TYRRELL CRNA

Nurse Anesthetist, Certified Registered

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 645-2000

MARGARET MACK

Student in an Organized Health Care Education/Training Program

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (610) 642-3796

XIAOLING YU MD

Hospitalist

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (484) 476-6421

JONATHAN HONGYI CHEN MD

Student in an Organized Health Care Education/Training Program

100 E LANCASTER AVE
WYNNEWOOD, PA 19096

Montgomery County (484) 476-2000

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 Shotaro Imaizumi's NPI number?

The NPI number for Shotaro Imaizumi is 1114906302. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Shotaro Imaizumi located?

Shotaro Imaizumi practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (610) 645-2613.

What is Shotaro Imaizumi's specialty?

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

When was this NPI record last updated?

The NPPES record for Shotaro Imaizumi was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.