ASHLAND PATHOLOGY SERVICES SC — NPI 1063423846 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology in ASHLAND, WI)

CMS-1500 Box 24J / 33a • NPI

1063423846

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207ZP0102X (CMS 22)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology

Box 32 Service Location & ZIP+4

1615 MAPLE LN, ASHLAND, WI, 54806-3610

✓ 9-Digit EDI 837 ZIP+4 (54806-3610)

Practice Phone & Referral Fax

(715) 685-5440

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1063423846 (ASHLAND PATHOLOGY SERVICES SC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1063423846` (NPI-2 Organization / Facility)
Provider / Legal Name	ASHLAND PATHOLOGY SERVICES SC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology NUCC Code: `207ZP0102X` (Pathology, Anatomic Pathology & Clinical Pathology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1615 MAPLE LN, ASHLAND, WI, 54806-3610
Practice Telephone / Fax	Tel: (715) 685-5440
Administrative Mailing Address	3410 STANLEY ST, STEVENS POINT, WI, 54481-1325
Enumeration & Last Sync	Enumerated: 2006-08-10 \| CMS Record Updated: 2020-08-22
Authorized Official	KEITH HENRY (Owner/President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1615 MAPLE LN, ASHLAND, WI, 54806-3610

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Plain-English Taxonomy & CMS Crosswalk (207ZP0102X)

What Does Taxonomy Code 207ZP0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207ZP0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 22 (Physician/Pathology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pathology, Anatomic Pathology & Clinical Pathology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASHLAND PATHOLOGY SERVICES SC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207ZP0102X` — Pathology, Anatomic Pathology & Clinical Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pathology, Anatomic Pathology & Clinical Pathology	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ASHLAND PATHOLOGY SERVICES SC (NPI #1063423846)