SEPA LAB - BRISTOL (NPI# 1063055200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063055200 |
| Entity Type | Organization |
| Organization Name | SEPA LAB - BRISTOL |
| Practice Address |
200 Rittenhouse Circle Ste 1a East Bristol PA 19007-1619 |
| Mailing Address |
721 Dresher Rd Ste 2500 Horsham PA 19044-2218 |
| Practice Telephone | 8552357246 |
| Mailing Telephone | 8552357246 |
| Mailing Fax Number | 2157027075 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | PATRICK C FALL (PRESIDENT) |
| Authorized Official Telephone | 8552357246 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | S.E. PA PAIN MANAGEMENT LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
200 RITTENHOUSE CIRCLE STE 1A EAST |
| City | BRISTOL |
| State | PA |
| Zip Code | 19007-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1881219863 | Eahab Abdul-lattif | Internal Medicine | 500 Bath Road, Bristol, PA 19007 | 2020-06-15 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
| 1235658147 | Leah Elizabeth Cohen | Social Worker | 100 Green Ln Ste 2, Bristol, PA 19007 | 2017-09-12 |
| 1922524842 | Genevieve Rongione | Occupational Therapist | Nova Care 100 Green Lane, Bristol, PA 19007 | 2017-08-22 |
| 1609263516 | Katrina Shchupak | Psychiatry & Neurology | 499 Bath Rd, Bristol, PA 19007 | 2015-04-17 |
| 1639504426 | Scott W Pfaff | Physical Therapist | 220 Commerce Circle, Bristol, PA 19007 | 2013-09-11 |
| 1861739997 | Conscu Inc | Ambulance | 2720 Bartam Rd, Suite 7, Bristol, PA 19007 | 2013-01-09 |
| 1417214537 | Leonard Davidson | Family Medicine | 202 Jefferson Ave, Bristol, PA 19007 | 2012-04-13 |
| 1831472067 | Timothy Michael Leicht | Physician Assistant | 335 Radcliffe St., Physician Assistant Surgical Associates, LLC, Bristol, PA 19007 | 2011-09-23 |
| Find all providers in zip 19007 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| 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; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980300 | Biodxx, Inc. | Pathology | Biodxx Inc., 100 Bianca Court, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1871071217 | Biozt Corporation | Pathology | 100 Bianca Ct, Mechanicsburg, PA 17050 | 2018-07-28 |
| 1205371697 | James Carroll Hyland | Pathology | 6575 Snowdrift Rd Ste 106, Allentown, PA 18106-9353 | 2016-12-21 |
| 1144593062 | Samik Basu | Pathology | 2981 Hemlock Farms, Hawley, PA 18428-9088 | 2012-02-23 |
| 1033449681 | Andrea Fellerman Kesack | Pathology | 1253 Appalachin Rd, Maple Glen, PA 19002-1151 | 2010-01-04 |
| 1114156965 | Rita Aneja | Pathology | 28 Laurelwood Dr, Wilkes Barre, PA 18702-7216 | 2009-07-14 |
| 1114178449 | Sheila Moriber Katz | Pathology | 701 Dodds Ln, Gladwyne, PA 19035-1516 | 2008-10-06 |
| 1740225291 | Warren S Pear | Pathology | 800 Spruce St # Rs, Philadelphia, PA 19107-6130 | 2006-06-18 |
| 1891746277 | Geisinger Clinic | Pathology | 10 Trieble Rd, Tunkhannock, PA 18657 | 2006-05-12 |
| 1497704837 | Geisinger Clinic | Pathology | 155 South Arch St, Suite B, Milton, PA 17847 | 2006-05-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEPA LAB - BRISTOL.
| 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.