Janice L Krisko, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50000548 Issued in OH

Practice address

1480 Center Rd
Suite a
Avon, OH 44011-1239

Phone

(440) 937-4600

Fax

(440) 937-4605

NPI assigned

Mar 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Mercy Health-Allen Hospital LLC

  • Rural Health Clinic/Center
  • Wellington, OH
  • NPI 1780818963
  NPD (past)

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1104149566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636643",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636643",
            "telephone_number": "440-937-4600",
            "fax_number": "440-937-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 CENTER RD",
            "address_2": "SUITE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111239",
            "telephone_number": "440-937-4600",
            "fax_number": "440-937-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISKO",
        "first_name": "JANICE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Mariano Kopasakis, PT, DPT, SCS
• Ana Kosakowski
• Lauren Cannatelli Koza, PA-C
• Thomas D. Kramer Jr., MD
• Mary Kramp
• Kristine Krisko, LISW-S
• Elaine M Kroth, PTA
• Marissa Rose Kubala, BCBA, COBA
• Denise M. Kuder, O.D.
• Kelly R Kuenzle, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.