OrganizationActive
Northern Utah Pathology PC
NPI 1053383141 · Anatomic Pathology & Clinical Pathology Physician · Logan, UT
Provider details
- NPI number
- 1053383141
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Kershisnik, President(435) 716-5375
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1400 N 500 E
Logan, UT 84341-2455
Phone: (435) 716-5375
Fax: (843) 284-3401
Street-level locationGet directions
Mailing address
Po Box 30309
Charleston, SC 29417-0309
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.