CAROL MODDRELL (NPI# 1235100264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235100264 |
| Entity Type | Individual |
| Full Name | CAROL MODDRELL |
| Credential | MD |
| Practice Address |
325 Maine St Lawrence KS 66044-1360 |
| Mailing Address |
Po Box 442157 Lawrence KS 66044-8933 |
| Practice Telephone | 7857493400 |
| Mailing Telephone | 3166858428 |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2013-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
04-15054 | KS | Allopathic & Osteopathic Physicians |
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
04-15054 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 220013875 | 01 | |
| KS | BCBS | 000626 | 01 |
| KS | 100204900A | 05 |
| Street Address |
325 MAINE ST |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66044-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417928433 | Lawrence Clinical Laboratory Chartered | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-28 |
| 1962015255 | Kate H Von Achen | Social Worker | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-26 |
| 1174135545 | Daniel Pons | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-18 |
| 1730799909 | Kyle Ryan Mick | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-08-03 |
| 1942819982 | Marianne Marie Westrick Carter | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1659980647 | Margaret Marie Jorgenson | Nurse Practitioner | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-27 |
| 1609485986 | Trent Mazanec | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2020-07-23 |
| 1346869351 | Jonah Michael Hady | Registered Nurse | 325 Maine St, Lawrence, KS 66044-1360 | 2020-04-09 |
| 1801442843 | Lauren Woodward | Physical Therapist | 325 Maine St, Lawrence, KS 66044-1360 | 2019-08-15 |
| 1780243493 | Mandy Peers-greaves | Dietitian, Registered | 325 Maine St, Lawrence, KS 66044-1360 | 2019-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
| 1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
| 1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
| 1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
| 1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
| 1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
| 1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
| Find all providers in zip 66044 | ||||
| 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 |
|---|---|---|---|---|
| 1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
| 1013024694 | Megha G Joshi | Pathology | Lawrence General Hospital, 1 General Street, Lawrence, MA 01842 | 2006-08-23 |
| 1417928433 | Lawrence Clinical Laboratory Chartered | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-28 |
| 1477848455 | Patient Focused Pathology, P.C. | Pathology | 1 General St, Lawrence, MA 01841-2961 | 2011-06-17 |
| 1730236266 | Shashikala Dwarakanath | Pathology | 1 General Street, Lawrence General Hospital, Lawrence, MA 01842 | 2007-01-05 |
| 1083761522 | Rick Schafer | Pathology | 1 General St, Lawrence, MA 01841-2961 | 2007-01-05 |
| 1457322232 | Michael Thompson | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-30 |
| 1962473991 | Richard Galbraith | Pathology | 325 Maine St, Lawrence, KS 66044-1360 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694900 | Anna Louise Heimes Dillon | Pathology | 3901 Rainbow Boulvard, Kansas City, KS 66160-0001 | 2018-03-29 |
| 1598105165 | Fredrick Andrew Tweet | Pathology | 876 Highway K 171, Pittsburg, KS 66762-8748 | 2013-06-27 |
| 1053682559 | William Neil Leifer | Pathology | 9500 Sw Jordan Rd, Wakarusa, KS 66546-9324 | 2012-01-16 |
| 1750675096 | Stephanie Marie Wood | Pathology | 3901 Rainbow Blvd Dept Of, Kansas City, KS 66160-3011 | 2011-06-03 |
| 1801187125 | Hana Albrecht | Pathology | 1500 Sw Tenth Avenue, Topeka Pathology Group, LLC, Topeka, KS 66604 | 2011-04-20 |
| 1982892212 | Marion Francis Biondo | Pathology | 11717 Brookwood Ave, Leawood, KS 66211-2903 | 2007-10-11 |
| 1609908821 | Basem B. Ahmed | Pathology | University of Kansas Medical Ctr 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1083746283 | Maura Frances O'neil | Pathology | University of Kansas Medical Center 3901 Rainbow Blvd, 2017 Wahl Hall West Ms 3045, Kansas City, KS 66160-0001 | 2007-03-12 |
| 1629121686 | Joel W Alderson | Pathology | 959 N St Francis, Wichita, KS 67214-3821 | 2007-01-20 |
| 1871660530 | Karen Y. Plumb | Pathology | 9601 W 144th St, Overland Park, KS 66221-7559 | 2006-11-29 |
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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.