Individual provider Active NPI

Patricia Sue Krotchen, PAC

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1083662118
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-001302 Issued in OH
Practice address
222 Piedmont Ave
Ste 6000
Cincinnati, OH 45219-4231
Phone
(513) 475-7505
Fax
(513) 475-7355
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-001302 OH Primary

Addresses

Primary practice location

222 Piedmont Ave
Ste 6000
Cincinnati, OH 45219-4231

Mailing address

2830 Victory Pkwy
Ste 310
Cincinnati, OH 45206-3700
Phone (513) 245-3444

Other identifiers 1

IdentifierTypeStateIssuer
95006003MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-001302OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians, Inc. Physician Assistant Past Accepting new patients
University Internal Medicine Associates, Inc. Physician Assistant Past Accepting new patients
University Hematology Oncology Care, Inc. Past Accepting new patients
Hospice of Southwest Ohio, Inc. Past Accepting new patients
University of Cincinnati Physicians Company, LLC Physician Assistant Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1083662118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063700",
            "telephone_number": "513-245-3444",
            "fax_number": "513-245-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PIEDMONT AVE",
            "address_2": "STE 6000",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452194231",
            "telephone_number": "513-475-7505",
            "fax_number": "513-475-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTCHEN",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-001302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95006003",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.