Joseph D Pandiscia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50005815RX Issued in OH

Practice address

234 Goodman St
Cincinnati, OH 45219-2364

Phone

(513) 475-8690

Fax

(513) 475-7257

NPI assigned

Oct 19, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Jay Pandiscia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1003126483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8360",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008011360",
            "telephone_number": "340-714-2845",
            "fax_number": "340-714-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8690",
            "fax_number": "513-475-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9149 Estate Thomas",
            "address_2": "Paragon Medical Bldg Ste 104",
            "address_purpose": "LOCATION",
            "city": "St Thomas",
            "state": "VI",
            "postal_code": "008022615",
            "country_code": "US",
            "telephone_number": "340-714-2845",
            "fax_number": "340-714-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432202",
            "country_code": "US",
            "telephone_number": "415-476-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste B",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-8670",
            "fax_number": "804-443-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDISCIA",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006730",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50005815RX",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "PANDISCIA",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Panacea Design and Marketing, LLC
• Kalpeshkumar Kantilal Panchal, MD
• Arthur M Pancioli, MD
• John Richard Pancoast, M.D.
• Diana Marie Pandey, M.D.
• Aroh Pandit, MD
• Arjun Pandya
• Jenna Marie Panek, DMD
• Jonathan Pang, DO
• Amanda Pangallo, LPN

• Physician Assistant in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.