OrganizationActive
Fond Du Lac Pathology Consultants
NPI 1619052800 · Anatomic Pathology & Clinical Pathology Physician · Fond Du Lac, WI
Provider details
- NPI number
- 1619052800
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Gedye, President(920) 926-5800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
430 E Division St
St Agnes Hosp, Pathology Dept
Fond Du Lac, WI 54935-4560
Phone: (920) 926-5840
Fax: (920) 929-0647
Street-level locationGet directions
Mailing address
Po Box 107
Fond Du Lac, WI 54936-0107
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2014-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.