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NPI Code Detail

MEDICARE: BLUEFIELD PATHOLOGY ASSOCIATES INC

MEDICARE: BLUEFIELD PATHOLOGY ASSOCIATES INC
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CL0652OTHERWVRAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104828243
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUEFIELD PATHOLOGY ASSOCIATES INC
Provider Business Mailing Address
First Line : PO BOX 409
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-0409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 CHERRY ST
Second Line :
City : BLUEFIELD
State : WV
Zip : 24701-3306
Country : US
Telephone Number : 304-327-1586
Fax Number :
Authorized Official
Title or Position : MD
Name : DR. STEPHEN P. POOLOS
Credential :
Telephone Number : 304-327-1586
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/29/2010

Similar Medicare Providers

1124022462 — DR. STEPHEN PATRICK POOLOS MD
Practice Location Address:
500 CHERRY ST
BLUEFIELD, WV
24701-3306
Practice Phone: 304-327-1580
Practice Fax:
1871595918 — DR. DENNIS IVAN PULLINS MD
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1477513083 — JAIN AND OLMSTED PARTNERSHIP
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Practice Fax:
1295798098 — DR. MILAGROS MERCEDES VIDOT M.D.
Practice Location Address:
500 CHERRY ST , ATTN: HOSPITALISTS OFFICE
BLUEFIELD, WV
24701-3306
Practice Phone: 304-327-1145
Practice Fax: 304-327-1139
1700838968 — KATHLEEN WIDES MD
Practice Location Address:
500 CHERRY ST
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24701-3306
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Practice Fax:
1730133588 — WILLIAM MARTIN ELLIOTT II MD
Practice Location Address:
500 CHERRY ST
BLUEFIELD, WV
24701-3306
Practice Phone: 304-327-1100
Practice Fax:

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