Provider Demographics
NPI:1649378514
Name:MIDWEST PATHOLOGY CONSULTANTS, P.A.
Entity type:Organization
Organization Name:MIDWEST PATHOLOGY CONSULTANTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEILERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-223-5032
Mailing Address - Street 1:701 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2403
Mailing Address - Country:US
Mailing Address - Phone:620-223-5032
Mailing Address - Fax:620-223-5071
Practice Address - Street 1:701 W 8TH ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-2403
Practice Address - Country:US
Practice Address - Phone:620-223-5032
Practice Address - Fax:620-223-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CS8738OtherRAILROAD MEDICARE
016405Medicare ID - Type Unspecified