Jordan Physician Associates, Inc.
NPI 1194263186ActiveOrganization· Pathology, Anatomic Pathology & Clinical Pathology· Plymouth, MA
Pathology, Anatomic Pathology & Clinical Pathology in Plymouth, Massachusetts, registered in NPPES in February 2017, part of Jordan Physician Associates, Inc. The authorized official on file is Catherine J. Grey, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194263186 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Jordan Physician Associates, Inc. |
| NPI issued | Feb 9, 2017 |
| Last updated in NPPES | Feb 19, 2020 |
| Certified by provider | Feb 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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