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NPISignal

Individual Healthcare Provider

Kyle Nathan Backer, M.D.

NPI Record: ActivePathology — Anatomic Pathology & Clinical Pathology
NPI1487066841
Longview, Washington

Provider's NPPES record last updated: June 6, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1487066841
Primary Specialty
Pathology — Anatomic Pathology & Clinical Pathology
Practice Location
Longview, Washington
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 8:46 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pathology

    Anatomic Pathology & Clinical Pathology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207ZP0102X

Provider-Reported License Information

Pathology (Washington)
MD61544789
Pathology (California)
A155221
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1615 Delaware St

Longview, Washington 98632-2367

Phone: (360) 636-8760

Additional Practice Location

200 W Arbor Dr

San Diego, California 92103-9000

Phone: (205) 599-4822

Fax: (800) 926-8273

Additional Practice Location

400 Ne Mother Joseph Pl

Vancouver, Washington 98664-3200

Phone: (360) 514-2116

Fax: (360) 514-2416

Record Information

Enumeration Date
May 20, 2014
Provider's NPPES Record Last Updated
June 6, 2024
Certification Date
June 6, 2024
NPISignal NPPES Dataset
August 2026

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