MEDICARE: PATHOLOGY ASSOCIATES OF ST. THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	39425	TN
2	207ZC0500X	Cytopathology Physician	8814	TN
3	207ZH0000X	Hematology (Pathology) Physician	20647	TN
4	207ZM0300X	Medical Microbiology Physician	8773	TN
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	8814	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073585774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHOLOGY ASSOCIATES OF ST. THOMAS

Provider Business Mailing Address
First Line	:	PO BOX 30309
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29417-0309
Country	:	US
Telephone Number	:	843-554-9300
Fax Number	:	843-566-8780

Provider Business Practice Location Address
First Line	:	4220 HARDING RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-2005
Country	:	US
Telephone Number	:	615-222-6756
Fax Number	:	615-222-6883

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDWARD CLAYTON MCDONALD
Credential	:	M.D,
Telephone Number	:	615-222-6756

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	01/30/2008

Similar Medicare Providers

1760475396 — TUAN Q NGUYEN MD
Practice Location Address:

4220 HARDING PIKE
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-2111
Practice Fax:

1194711788 — DR. LESLIE M PITTMAN PHARM. D.
Practice Location Address:

4220 HARDING RD , SUITE G6
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-6133
Practice Fax: 615-222-6818

1578559720 — DR. CATHERINE H. TURNER PHARM.D.
Practice Location Address:

4220 HARDING RD
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-4711
Practice Fax: 615-222-6818

1992789606 — DR. SARINA W FORDICE MD
Practice Location Address:

4220 HARDING RD
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-6095
Practice Fax: 615-222-6321

1790769412 — DR. RONALD B ADDLESTONE MD
Practice Location Address:

4220 HARDING RD , ST THOMAS HOSPITAL
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-6095
Practice Fax: 615-222-6321

1952386393 — DAVID C JACOBS MD
Practice Location Address:

4220 HARDING RD , SUITE 500
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-6977
Practice Fax: 615-222-5322

1902881345 — DR. RICHARD B STEWART MD
Practice Location Address:

4220 HARDING RD , ST THOMAS HOSPITAL
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-6095
Practice Fax: 615-222-6321

Directions to “PATHOLOGY ASSOCIATES OF ST. THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.