LABORATORY FOR KIDNEY PATHOLOGY INC (NPI# 1407059777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407059777 |
| Entity Type | Organization |
| Organization Name | LABORATORY FOR KIDNEY PATHOLOGY INC |
| Practice Address |
1916 Patterson St Ste 501 Nashville TN 37203-2153 |
| Practice Telephone | 6153215729 |
| Practice Fax Number | 6153200377 |
| Mailing Telephone | 6153215729 |
| Mailing Fax Number | 6153200377 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | ROBERT G HORN (PHYSICIAN) |
| Authorized Official Telephone | 6153215729 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
1976 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CLIA | 44D0308047 | 01 |
| TN | LAB LICENSE | 1976 | 01 |
| TN | 3370197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035355 | Laboratory for Kidney Pathology Inc | Pathology | 1916 Patterson St, Suite 501, Nashville, TN 37203-2120 | 2005-07-05 |
| Street Address |
1916 PATTERSON ST STE 501 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| 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 |
|---|---|---|---|---|
| 1932457785 | Consolidated Pathology Inc | Pathology | 1802 Hayes St, Nashville, TN 37203-2504 | 2012-08-28 |
| 1437206307 | Giovanna Giannico | Pathology | 1161 21st Ave S Mcn C-2104c, Nashville, TN 37232-0001 | 2007-01-04 |
| 1063404085 | Juli Anne Mccay | Pathology | 1010 Airpark Center Dr, Nashville, TN 37217-5200 | 2005-08-16 |
| 1376931758 | Jiancong Liang | Pathology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2012 | 2015-01-07 |
| 1750631131 | Won Jae Huh | Pathology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2012-09-13 |
| 1134494784 | Thomas Stricker | Pathology | 3601 Tvc, Nashville, TN 37232-0001 | 2012-03-15 |
| 1811207517 | Mitra Mehrad | Pathology | Vanderbilt University Medical Ctr, 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2010-10-15 |
| 1396976361 | Paisit Paueksakon | Pathology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5100 | 2009-08-07 |
| 1396984852 | Alice Clark Coogan | Pathology | 3601 Tvc, Nashville, TN 37232-0001 | 2009-02-06 |
| 1528226347 | Susan A Halter | Pathology | 2400 Crestmoor Rd, Nashville, TN 37215-2046 | 2008-05-29 |
| Find all providers in NASHVILLE | ||||
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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.