Active NPI
Jaseem Pasha, M.D.
- Psychiatry Physician
- Dayton, OH
National Provider Identifier
1104943133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35100018
- Practice address
- 1520 Germantown St
Dayton, OH 45408-1318 - Phone
- (937) 222-8111
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35100018 | OH | Primary |
Addresses
Primary practice location
1520 Germantown St
Dayton, OH 45408-1318
Mailing address
1545 Furman Dr
Vandalia, OH 45377-9775
Phone (937) 890-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0371673 | Medicaid | OH |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35100018 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104943133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 FURMAN DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453779775",
"telephone_number": "937-890-4447",
"fax_number": "937-890-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 GERMANTOWN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454081318",
"telephone_number": "937-222-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHA",
"first_name": "JASEEM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35100018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0371673",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.