NORTHERN UTAH PATHOLOGY PC
NPI 1053383141
Pathology - Anatomic Pathology & Clinical Pathology in Logan, UT

NPI Status: Active since February 03, 2006

Contact Information

1400 N 500 E
LOGAN, UT
ZIP 84341
Phone: (435) 716-5375
Fax: (843) 284-3401

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance

About NORTHERN UTAH PATHOLOGY PC

This page provides the complete NPI Profile along with additional information for Northern Utah Pathology Pc, a provider established in Logan, Utah operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1053383141 assigned on February 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Matthew M Kershisnik Md (President)

NPI
1053383141
Provider Name
NORTHERN UTAH PATHOLOGY PC
Entity Type
Organization
Location Address
1400 N 500 E LOGAN, UT 84341
Location Phone
(435) 716-5375
Location Fax
(843) 284-3401
Mailing Address
PO BOX 30309 CHARLESTON, SC 29417
Mailing Phone
(843) 554-9300
Mailing Fax
(843) 284-3401
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2006
Last Update Date
01-07-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License State
UT
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATTHEW M KERSHISNIK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(435) 716-5375

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CK5960MEDICARE PIN (08)UT 

Reviews for NORTHERN UTAH PATHOLOGY PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053383141
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010368618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 6 + 8 + 6 + 1 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1053383141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235138017 C. RICHARD HOPKINS M.D.
Individual
Radiology (Diagnostic Radiology)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1851363600DR. MATTHEW M KERSHISNIK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1400 N 500 E
LOGAN, UT 84341
(435) 716-5375
1720049133 ROBERT DUNCAN DO
Individual
Internal Medicine1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1376584300 THERAL MICHAEL BISHOP MD
Individual
Emergency Medicine (Emergency Medical Services)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1417981234 RYAN J STOLWORTHY MD
Individual
Emergency Medicine (Emergency Medical Services)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1508890682 DANNY E SPENCER DO
Individual
Emergency Medicine (Emergency Medical Services)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1447285762 RICHARD J INGEBRETSEN MD
Individual
Emergency Medicine (Emergency Medical Services)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1366463259 LORI CHRISTIE OLSEN
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1407877301 DIANE CARLING OT
Individual
Occupational Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1477575041 MATTHEW F HARRIS MD
Individual
Emergency Medicine (Emergency Medical Services)1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1598789448 JOHN D COLE PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1164446019 TRACY WALKER PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1447274311 DARIN L THOMPSON OT
Individual
Occupational Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1538183470 DOUGLAS W STROMBERG PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1932123874 GEORGE LEE ROSS PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1619981255 STEVEN REED JENSEN AUD
Individual
Audiologist1400 N 500 E
LOGAN, UT 84341
(435) 716-5443
1528074143 DEBBIE L HOLT OT
Individual
Occupational Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1003823816 SHAUN P DAHLE PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1013023522 BRANDON DAVID GREENWOOD PT
Individual
Physical Therapist1400 N 500 E
LOGAN, UT 84341
(435) 716-1000
1326154840 SHELLIE D THORNLEY SLP
Individual
Speech-Language Pathologist1400 N 500 E
LOGAN, UT 84341
(435) 716-5010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053383141, enumerated in the NPI registry as an "organization" on February 03, 2006

The provider is located at 1400 N 500 E Logan, Ut 84341 and the phone number is (435) 716-5375

This medical organization specializes in Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.