AMERIPATH MISSISSIPPI INC


Address: 1850 Chadwick Dr, Jackson, MS 39204-3404
Phone: 6019328370

AMERIPATH MISSISSIPPI INC (NPI# 1134295066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134295066
Entity Type Organization
Organization Name AMERIPATH MISSISSIPPI INC
Practice Address 1850 Chadwick Dr
Jackson
MS 39204-3404
Mailing Address 7111 Fairway Drive
Suite 400
Palm Beach Gardens
FL 33418-4207
Practice Telephone 6019328370
Mailing Telephone 5617126200
Mailing Fax Number 5617127349
Enumeration Date 2006-11-24
Last Update Date 2011-09-19
Authorized Official Name MR. EDWARD M KRAMER (VICE PRESIDENT)
Authorized Official Telephone 6105503000
Is Organization Subpart Y
Parent Organization Name AMERIPATH INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
25D0985448 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS CLIA 25D0887855 01
MS 9011140 05
MS CLIA 25D1040635 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174821391 Ameripath Mississippi Inc Clinical Medical Laboratory 1031 N Flowood Dr, Flowood, MS 39232-9533 2011-03-11
1295786788 Ameripath Mississippi Inc Clinical Medical Laboratory 306 Hospital Dr, Columbus, MS 39705-1935 2006-05-12
1962474700 Ameripath Mississippi Inc Clinical Medical Laboratory 1033 N Flowood Dr, Jackson, MS 39232-9533 2006-02-06

Office Location

Street Address 1850 CHADWICK DR
City JACKSON
State MS
Zip Code 39204-3404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518969724 Steven E Zachow Radiology 1850 Chadwick Dr, Jackson, MS 39204-3404 2005-06-01
1346847274 Devon Allred Specialist/Technologist, Other 1850 Chadwick Dr, Jackson, MS 39204-3404 2020-10-05
1194345991 Jackson Hma LLC Clinical Medical Laboratory 1850 Chadwick Dr, Jackson, MS 39204-3404 2020-04-21
1174166383 Amanda Brittany Busch Nurse Practitioner 1850 Chadwick Dr, Jackson, MS 39204-3404 2019-10-21
1184183725 Mary Arnetta Sangster Spec/Tech, Cardiovascular 1850 Chadwick Dr, Jackson, MS 39204-3404 2019-03-13
1265904593 Matthew Burkhalter Physician Assistant 1850 Chadwick Dr, Jackson, MS 39204-3404 2018-12-27
1023580693 John Tyler Mclendon Nurse Anesthetist, Certified Registered 1850 Chadwick Dr, Jackson, MS 39204-3404 2018-12-20
1720562820 Caleb Creel Physical Therapist 1850 Chadwick Dr, Jackson, MS 39204-3404 2018-09-24
1508346222 Veronica Barton Physical Therapist 1850 Chadwick Dr, Jackson, MS 39204-3404 2018-08-21
1730687740 App of Mississippi Ed, LLC Emergency Medicine 1850 Chadwick Dr, Jackson, MS 39204-3404 2018-01-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1427593888 Care First Home Care Agency, Inc In Home Supportive Care 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 2016-12-21
1134678808 Yolonda Kinzie Registered Nurse 1134 Winter St., Jackson, MS 39204 2016-09-23
1578983938 Seaneather Arline Mcgill Nurse's Aide 2024 Shady Lane Dr, Jackson, MS 39204 2014-04-23
1942591128 Real Solutilons, LLC Exclusive Provider Organization 831 Hwy 80 W., Jackson, MS 39204 2011-04-22
1548405236 Visions Physical Therapy Specialist/Technologist 4700 Robinson Rd, Jackson, MS 39204 2008-12-09
1588759393 Donald H Butts Specialist 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 2006-10-04
1003907460 Patrick E Weldon Psychiatry & Neurology 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 2006-09-28
1922117662 Elgin Kenneth Walley Dentist 2174 Henry Hill Drive, Jackson, MS 39204 2006-08-29
1376555045 Linda Nell Hunter Nurse Practitioner 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 2006-08-12
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215049929 Clay Broders Calcote Pathology 1500 E Woodrow Wilson Dr, Jackson, MS 39216-5116 2006-08-31
1629015581 Nagy H Mikhail Pathology 29 Overlook Dr, Jackson, NJ 08527-4845 2006-06-01
1306843131 Joseph N Candelora Pathology 969 Lakeland Dr, Jackson, MS 39216-4606 2005-07-07
1215934047 James P Almas Pathology 969 Lakeland Drive, Jackson, MS 39216-4699 2005-07-07
1598181943 Vikas Nath Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1811313281 Kristen Adams Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1760808109 Raveena Reddy Pathology 2500 N State St, Jackson, MS 39216-4500 2014-03-10
1811335474 Stephanie Crabtree Tanner Pathology 2500 N State St, Department of Pathology, Jackson, MS 39216-4500 2013-06-05
1649613670 Sarika Prakash Jain Pathology 2500 N State St, Jackson, MS 39216 2013-04-09
1023362456 Kathryn B Brown Pathology 1225 N State St, Jackson, MS 39202-2064 2012-11-07
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39204

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Dataset Information

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.

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