MPATH, LLC (NPI# 1124441431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124441431 |
| Entity Type | Organization |
| Organization Name | MPATH, LLC |
| Other Organization Name | MATTOCH PATHOLOGY |
| Practice Address |
3633 Little Dipper Dr Fort Collins CO 80528-4448 |
| Practice Telephone | 9708186788 |
| Practice Fax Number | 9703724699 |
| Mailing Telephone | 9708186788 |
| Mailing Fax Number | 9703724699 |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |
| Authorized Official Name | DR. INGERLISA WENCHE MATTOCH (OWNER) |
| Authorized Official Telephone | 9708186788 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
49136 | CO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mattoch Pathology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274318 | Mpath, LLC | Pathology | 6215 Aviation Cir, Loveland, CO 80538-9293 | 2020-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MPATH, LLC | 4415 Westchester Dr, Woodland Hills, CA 91364-5656 |
| Street Address |
3633 LITTLE DIPPER DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 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 (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1902449804 | Stephen L Warren | Pathology | 4815 Prairie Vista Dr, Fort Collins, CO 80526-3779 | 2019-10-23 |
| 1265474506 | Fort Collins Consultants In Pathology PC | Pathology | 1024 Lemay Ave, Fort Collins, CO 80524-3929 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274318 | Mpath, LLC | Pathology | 6215 Aviation Cir, Loveland, CO 80538-9293 | 2020-10-30 |
| 1699958744 | Jason A Hicks | Pathology | 195 Inverness Dr W Ste 120, Englewood, CO 80112-5206 | 2007-12-12 |
| 1053414045 | Stephen R Nash | Pathology | 7346 S Alton Way, Suite 10-e, Centennial, CO 80112-2327 | 2006-09-06 |
| 1043322704 | Maria L Botero | Pathology | Cra 31 #17 Sur 61, Apt 1003, Medellin, CO 02215 | 2006-08-31 |
| 1538321831 | Dara Aisner | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-06-27 |
| 1700068632 | Jeffrey B. Kaplan | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-12-03 |
| 1851588065 | Martine Mcmanus | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-10-02 |
| 1538368527 | Melissa M. Meier | Pathology | 6116 E Warren Ave, Denver, CO 80222-5703 | 2007-07-11 |
| 1992917678 | Amy Lara Fayling | Pathology | 382 S Arthur Ave, Louisville, CO 80027-3094 | 2007-05-04 |
| 1184766222 | Joshua Wisell | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-02-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.