KINGSLEY LANE ANATOMIC PATHOLOGY (NPI# 1386930451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386930451 |
| Entity Type | Organization |
| Organization Name | KINGSLEY LANE ANATOMIC PATHOLOGY |
| Practice Address |
150 Kingsley Ln Norfolk VA 23505-4602 |
| Practice Telephone | 7578895068 |
| Mailing Telephone | 7578895068 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-07-26 |
| Authorized Official Name | MR. GERARD A SINGER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7573984943 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Kingsley Lane Anatomic Pathology PLLC | 150 Kingsley Lane, Norfolk, Virginia 23505 |
| Street Address |
150 KINGSLEY LN |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812785 | Patrick B. Higdon | Family Medicine | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2005-06-27 |
| 1497385033 | Jennifer L Lemasters-stover | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2020-01-23 |
| 1356813083 | Sarah West Taylor | Clinical Nurse Specialist | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-12-19 |
| 1619443009 | Amarachi G Agbai | Registered Nurse | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-10-23 |
| 1043795867 | Lindsey Reprogle | Physician Assistant | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-09-27 |
| 1528549219 | Chika I Ogbolu | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-08-22 |
| 1457846024 | Gia Martin | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-06-26 |
| 1295237477 | Shannon Coulson | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-03-05 |
| 1053834960 | Kathryn Alise Gale | Nurse Practitioner | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2017-07-23 |
| 1881139434 | Corinna Brander | Nurse Practitioner | 150 Kingsley Ln, Neuroscience Office, Norfolk, VA 23505-4602 | 2017-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
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| 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 |
|---|---|---|---|---|
| 1841372455 | Steffan Rodman Lacey | Pathology | 109 N 15th Street, Suite 36, Norfolk, NE 68701 | 2006-10-20 |
| 1255378576 | Robert A Hershberg | Pathology | 6330 N Center Drive, Building 13 Suite 220, Norfolk, VA 23502-4008 | 2006-06-02 |
| 1053607697 | Timothy Bernard Walls | Pathology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2011-06-22 |
| 1114251899 | Wendy Rizzo | Pathology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2009-09-28 |
| 1750517330 | Jason M. Wells | Pathology | 600 Gresham Dr, Pathology Department, Norfolk, VA 23507-1904 | 2009-06-09 |
| 1487795852 | Janet Salome Winston | Pathology | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2007-02-09 |
| 1689731515 | Michele Roullet Bak | Pathology | 600 Gresham Dr, Department of Pathology, Norfolk, VA 23507-1904 | 2007-01-02 |
| 1316000904 | Maria Z. Parizhskaya | Pathology | 600 Gresham Dr, Sentara Norfolk General Hospital Path Dept, Norfolk, VA 23507-1904 | 2006-12-18 |
| 1992874861 | Jeng-gwang Hsiu | Pathology | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2006-11-07 |
| 1477635043 | Mary B Bancroft Lux | Pathology | 109 N 15th Street, Suite 36, Norfolk, NE 68701 | 2006-10-20 |
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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.