GULF COAST PATHOLOGY ASSOCIATES PA (NPI# 1154382679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154382679 |
| Entity Type | Organization |
| Organization Name | GULF COAST PATHOLOGY ASSOCIATES PA |
| Practice Address |
17200 St Lukes Way The Woodlands TX 77385 |
| Mailing Address |
Po Box 947 Houston TX 77001-0947 |
| Practice Telephone | 9362663378 |
| Mailing Telephone | 8323552942 |
| Mailing Fax Number | 8323554232 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RHONDA LEA SHANNON (PRESIDENT) |
| Authorized Official Telephone | 8323552942 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZN0500X |
Pathology Specialization: Neuropathology |
Allopathic & Osteopathic Physicians | ||
| X | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
Allopathic & Osteopathic Physicians | ||
| X | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| X | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207ZC0500X |
Pathology Specialization: Cytopathology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100858 | Gulf Coast Pathology Associates Pa | Pathology | 6720 Bertner Ave, Houston, TX 77030 | 2006-04-01 |
| Street Address |
17200 ST LUKES WAY |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447690 | Barbara Anne Lines | Pathology | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2005-06-14 |
| 1457960494 | Karnika Hill Campbell | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-07-27 |
| 1760005276 | Davd Clement Varghese | Pharmacy | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-05-19 |
| 1952930299 | Emily S Roller | Registered Nurse | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-04-08 |
| 1124660204 | Lorrie Faith Pool | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-10-10 |
| 1619529302 | Abigail Kathryn Marcotte | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-07-12 |
| 1700446838 | Mary Ann Kinart | Dietitian, Registered | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-06-20 |
| 1013471648 | Khairuniza Lao | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-01-28 |
| 1902374341 | Cecilia Rene' Kain | Occupational Therapy Assistant | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2018-11-04 |
| 1447748504 | John Nicholas Hustedt | Emergency Medicine | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2018-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727423 | Victoria Templeton | Marriage & Family Therapist | 256 Ed English Dr., Building 4, Unit C, Shenandoah, TX 77385 | 2020-10-09 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1285255380 | Tiffany Tran | Pharmacist | 10200 Hwy 242, Conroe, TX 77385 | 2020-04-29 |
| 1447898994 | Harper's Preserve Dentistry, PC | Dentist | 10160 Hwy 242, Ste 100, Conroe, TX 77385 | 2019-12-16 |
| 1104462753 | Over The Moon Pediatrics, Pllc | Pediatrics | 17189 I-45 South, Suite 235, The Woodlands, TX 77385 | 2019-11-19 |
| 1053973453 | Mark William Riepl | Behavior Technician | 19445 David Memorial Dr, Unit #1707, Shenandoah, TX 77385 | 2019-07-05 |
| 1225690134 | H-e-b, Lp | Clinical Medical Laboratory | 10200 Highway 242, Conroe, TX 77385 | 2019-07-01 |
| 1932766235 | Houston Mint Dentistry, Pllc | Dentist | 19073 Interstate 45 N Suite 185, Shenandoah, TX 77385 | 2019-05-22 |
| 1255808283 | Ntn Dental Pllc | Clinic/Center | 10161 Highway 242, Suite 100, Conroe, TX 77385 | 2018-10-29 |
| 1164902094 | Lindsay Taylor Fleming | Specialist/Technologist | 19221, Interstate 45 S. Ste. 120, Shenandoah, TX 77385 | 2018-08-20 |
| Find all providers in zip 77385 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| 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) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811168701 | Gregg Bennett Wells | Pathology | 440 Reynolds Medical Building, 1114tamu/molecular and Cellular Medicine, College Station, TX 77843-1114 | 2008-03-18 |
| 1710948153 | Dennis Kendall Burns | Pathology | 5323, Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-28 |
| 1851395214 | Dawna Lavina Armstrong | Pathology | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2005-06-13 |
| 1760828388 | Jamie Walker | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2013-05-22 |
| 1962794883 | Andrea Rene Gilbert | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2011-05-11 |
| 1881898179 | Emily Susanne Herndon | Pathology | 5323 Harry Hines Blvd, Division of Neuropathology, Dallas, TX 75390-7201 | 2007-06-12 |
| 1679796544 | Derek Andrew Mathis | Pathology | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2007-04-10 |
| 1992866966 | Kondi Wong | Pathology | 2200 Bergquist Dr, Attn Credentials (cmc), Lackland A F B, TX 78236-9907 | 2006-12-13 |
| 1811068224 | Gerald A Campbell | Pathology | 301 University Blvd, Galveston, TX 77555-5302 | 2006-11-10 |
| 1164593489 | Benjamin B Gelman | Pathology | 301 University Blvd, Galveston, TX 77555-5302 | 2006-11-10 |
| Find all providers with the same taxonomy | ||||
| City | THE WOODLANDS |
| Zip Code | 77385 |
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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.