ST MARYS PATHOLOGY ASSOCIATES (PALM BEACH PATHOLOGY PA) NPI 1619951621

Pathology (Anatomic Pathology & Clinical Pathology) in West Palm Beach, FL

NPI 1619951621 Organization Pathology Anatomic Pathology & Clinical Pathology

About ST MARYS PATHOLOGY ASSOCIATES (PALM BEACH PATHOLOGY PA)

St Marys Pathology Associates (palm Beach Pathology Pa) is a provider established in West Palm Beach, Florida specializing in pathology (anatomic pathology & clinical pathology) . The NPI number of St Marys Pathology Associates (palm Beach Pathology Pa) is 1619951621 and was assigned on December 2005. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 14 years ago. St Marys Pathology Associates (palm Beach Pathology Pa) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as St Marys Pathology Associates. The authorized official of this NPI record is Mr. David Abis Md (President)

NPI

1619951621

Provider NameST MARYS PATHOLOGY ASSOCIATES (PALM BEACH PATHOLOGY PA)
Provider Location Address2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA WEST PALM BEACH, FL 33407
Provider Mailing Address300 BUTLER STREET PALM BEACH PATHOLOGY PA WEST PALM BEACH, FL 33407
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameST MARYS PATHOLOGY ASSOCIATES
Other Name TypeDoing Business As (3)
Enumeration Date12-02-2005
Last Update Date05-07-2008


Primary Taxonomy

Taxonomy Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
Taxonomy DescriptionA 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.

Business Address

ST MARYS PATHOLOGY ASSOCIATES
2013 PONCE DELEON AVE
PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 659-0770
Fax: (561) 802-3504

Get Directions


Mailing Address

ST MARYS PATHOLOGY ASSOCIATES
300 BUTLER STREET
PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 659-0770
Fax: (561) 802-3504



Authorized Official

Authorized Official NameMR. DAVID ABIS MD
Authorized Official TitlePRESIDENT
Authorized Official Phone(561) 659-0770

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
99070MEDICARE PIN (08)FL
CG3589MEDICARE PIN (08)
99071MEDICARE PIN (08)FL
258264300MEDICAID (05)FL
99268MEDICARE PIN (08)FL
77313MEDICARE PIN (08)FL
97880MEDICARE PIN (08)FL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154303469 SANFORD ALLEN MULLEN JR. MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770
1063494375 MARK G PHILLIPS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770
1962484279 ALAN S SARA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2013 PONCE DELEON AVE PALM BEACH PATHOLOGY PA
WEST PALM BEACH, FL 33407
(561) 659-0770

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.