HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC (NPI# 1013131572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013131572 |
| Entity Type | Organization |
| Organization Name | HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC |
| Practice Address |
1305 N Elm St Henderson KY 42420 |
| Mailing Address |
Po Box 934 1228 N Elm St Henderson KY 42420 |
| Practice Telephone | 2708279701 |
| Practice Fax Number | 2708831781 |
| Mailing Telephone | 2708275399 |
| Mailing Fax Number | 2708275327 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-05-08 |
| Authorized Official Name | P A CORPUS (MEDICAL DIRECTOR PATHOLOGY SERVICES) |
| Authorized Official Telephone | 2708279701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65905382 | 05 |
| Street Address |
1305 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
| 1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
| 1659993582 | Deaconess Clinic, Inc | Internal Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-05-14 |
| 1336768993 | Carla M Wise | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-04-14 |
| 1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
| 1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1962055863 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-19 |
| 1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
| 1780249060 | Methodist Health, Inc. | Anesthesiology | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063675874 | Allen Robert Anes | Pathology | 20 Anthem Pointe Ct, Henderson, NV 89052-6605 | 2008-07-02 |
| 1144428822 | Harvey Michael Jones | Pathology | 957 Meadow Ln, Henderson, NC 27536-3852 | 2007-07-05 |
| 1508058678 | Galen Mark Eversole | Pathology | 301 N Pecos Rd, Suite E, Henderson, NV 89074-1349 | 2007-08-13 |
| 1376646307 | William P. Heyns Jr. | Pathology | 300 Wilson Street, Henderson, TX 75652-5956 | 2006-09-06 |
| 1063489987 | Primilina A Corpus | Pathology | 1305 N Elm St, Henderson, KY 42420-2783 | 2006-03-01 |
| 1508846346 | Karen M Mitchell | Pathology | 568 Ruin Creek Rd, Suite 5, Henderson, NC 27536-2880 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801397005 | Lourente Bacus Tigas | Pathology | 330 Quail Ct, Russell, KY 41169-1575 | 2018-02-22 |
| 1275064743 | Treeva Jassim | Pathology | 800 Rose St Ste Ms -117, Lexington, KY 40536 | 2017-03-25 |
| 1265889372 | Alfred Bennett Jenson | Pathology | 2307 River Road, Suite 101, Louisville, KY 40206-5000 | 2016-05-18 |
| 1184983819 | Jessica Howard | Pathology | 3408 Squire Oak Dr, Lexington, KY 40515-1338 | 2012-05-15 |
| 1073871802 | Zhan Ye | Pathology | Department of Pathology 800 Rose St, Ms117, Lexington, KY 40536-0298 | 2012-04-30 |
| 1568720498 | Beth Ellen Frost | Pathology | Hq101 University of Kentucky, 800 Rose Street, Lexington, KY 40536-0288 | 2012-04-28 |
| 1104104801 | Lawrence Harold Boram | Pathology | 1918 Charbdin Pl, Louisville, KY 40207-1678 | 2011-07-28 |
| 1639482748 | Lauren Lippincott | Pathology | 10511 La Grange Rd, Louisville, KY 40223-1277 | 2010-07-17 |
| 1447447131 | Alka Uppal Khanna | Pathology | 3900 Southern Hills Dr, Ashland, KY 41102-7402 | 2007-09-26 |
| 1215132550 | Elena Samoilova | Pathology | Uk Department of Pathology 800 Rose St, Ms147, Lexington, KY 40536-0298 | 2007-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.