GREAT LAKES PATHOLOGISTS SC
NPI 1689695934
Pathology - Anatomic Pathology & Clinical Pathology in West Allis, WI

NPI Status: Active since July 22, 2006

Contact Information

8901 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
Phone: (414) 328-7950
Fax: (414) 328-7998

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

About GREAT LAKES PATHOLOGISTS SC

This page provides the complete NPI Profile along with additional information for Great Lakes Pathologists Sc, a provider established in West Allis, Wisconsin operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1689695934 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 15 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 Jimmy R Clark M.d. (President)

NPI
1689695934
Provider Name
GREAT LAKES PATHOLOGISTS SC
Entity Type
Organization
Location Address
8901 W LINCOLN AVE WEST ALLIS, WI 53227
Location Phone
(414) 328-7950
Location Fax
(414) 328-7998
Mailing Address
8901 W LINCOLN AVE WEST ALLIS, WI 53227
Mailing Phone
(414) 328-7950
Mailing Fax
(414) 328-7998
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
07-12-2010
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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
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 MULTIPLE 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:

  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Gold HSA - HMO
  • Dean Gold Share - HMO
  • Dean Gold Standard - HMO
  • Dean Silver $0 Copay PCP Visits - HMO
  • Dean Silver Share - HMO
  • Dean Silver Standard - HMO
  • 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.

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

JIMMY R CLARK M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(414) 328-7950

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
000060240MEDICARE PIN (08)WI 
CI2426OTHER (01)WIRAIL ROAD MEDICARE
=========029OTHER (01)WIBCBS
32824300MEDICAID (05)WI 
000002045MEDICARE PIN (08)WI 
000007045MEDICARE PIN (08)WI 
000065190MEDICARE PIN (08)WI 
000052510MEDICARE PIN (08)WI 

Reviews for GREAT LAKES PATHOLOGISTS SC

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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.
1689695934
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691291096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 1 + 0 + 9 + 6 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1689695934 is valid because the calculated check digit 4 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
1447250105SELECT SPECIALTY HOSPITAL - MILWAUKEE INC
Organization
Long Term Care Hospital8901 W LINCOLN AVE 2ND FLOOR
WEST ALLIS, WI 53227
(414) 328-7700
1740264910DR. VERA SLAVIC-SVIRCEV M.D.
Individual
Anesthesiology8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6000
1235113226DR. EDUARDS J VUCINS M.D.
Individual
Anesthesiology8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6000
1346211133DR. JAMES R. RUSCH M.D.
Individual
Anesthesiology8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6000
1285671636 MOISES YOSELEVITZ MD
Individual
Radiology (Vascular & Interventional Radiology)8901 W LINCOLN AVE DEPT OF RADIOLOGY
WEST ALLIS, WI 53227
(414) 328-6427
1467494161DR. SAMER ABOU DOLA M.D.
Individual
Pathology (Hematology)8901 W LINCOLN AVE GREAT LAKES PATHOLOGIST, S.C.
MILWAUKEE, WI 53227
(414) 649-6831
1225070287 MARK A ELSON MD
Individual
Radiology (Diagnostic Radiology)8901 W LINCOLN AVE RADIOLOGY
WEST ALLIS, WI 53227
(414) 328-6440
1285669606 SHELLY B UNDERHILL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-7950
1487689881 KARL W SCHMITT MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-7950
1164440921 KATHRYN K HAVENS MD
Individual
Internal Medicine8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 329-5634
1457426710 SANDY SELL MNT
Individual
Dietitian, Registered8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6214
1205991197DR. GATIS MAKSTENIEKS MD
Individual
Physical Medicine & Rehabilitation8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6633
1326103466 CHERYL DEDECKER LPC
Individual
Counselor (Professional)8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 773-4312
1346306727 MELISSA L WEST MS, CGC
Individual
Genetic Counselor, MS8901 W LINCOLN AVE SUITE 505
WEST ALLIS, WI 53227
(414) 329-5685
1972650232 AMANDA L GILLIS MNT
Individual
Dietitian, Registered8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6214
1922143064 MARK A NELSON M.D.
Individual
Anesthesiology8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-6000
1235345695WEST ALLIS MEMORIAL HOSPITAL, INC.
Organization
Clinic/Center8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 389-6000
1225225287 PATRICK WELSCHER R.D., C.D.
Individual
Dietitian, Registered8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 328-7334
1376717785WEST ALLIS MEMORIAL HOSPITAL, INC.
Organization
Rehabilitation Unit8901 W LINCOLN AVE
WEST ALLIS, WI 53227
(414) 389-6000
1942464516MS. AUDREY FAY JOHNSON RN
Individual
Registered Nurse (Diabetes Educator)8901 W LINCOLN AVE DIABETES ED
WEST ALLIS, WI 53227
(414) 328-6193

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689695934, enumerated in the NPI registry as an "organization" on July 22, 2006

The provider is located at 8901 W Lincoln Ave West Allis, Wi 53227 and the phone number is (414) 328-7950

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

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Common Ground. 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 July 22, 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.