PATHOLOGY ASSOCIATES OF TYLER PA – NPI #1770521403
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.

PATHOLOGY ASSOCIATES OF TYLER PA is a pathologist located in TYLER, TX. NPPES has assigned the NPI number 1770521403 to PATHOLOGY ASSOCIATES OF TYLER PA on June 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 4 years ago on Jul 18, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PATHOLOGY ASSOCIATES OF TYLER PA below.

NPI Profile for
PATHOLOGY ASSOCIATES OF TYLER PA

NPI Number
1770521403
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PATHOLOGY ASSOCIATES OF TYLER PA
Primary location
1726 S BECKHAM AVE
TYLER, TX 75701-4465
Phone: (903) 593-0481 Fax: (903) 592-0555
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW KULAGA
PRESIDENT
Phone: (903) 593-0481
Updated
Certification Date
Jul 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PATHOLOGY ASSOCIATES OF TYLER PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDTXCL8037
OTHERRAILROAD MCTX690039090
MEDICAIDTX110790601
MEDICAIDTX110790603
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)
291U00000X
- Clinical Medical Laboratory

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.