Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert
NPI 1821060898ActiveOrganization· Pathology, Anatomic Pathology & Clinical Pathology· Tallahassee, FL
Pathology, Anatomic Pathology & Clinical Pathology in Tallahassee, Florida, registered in NPPES in February 2006, part of Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert. The authorized official on file is Angela Fuqua, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821060898 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert |
| NPI issued | Feb 3, 2006 |
| Last updated in NPPES | May 15, 2020 |
| Certified by provider | May 15, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 800000042 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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