Rolando Rile Panoncillo, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

05004452A Issued in IN

Practice address

7804 W Adare Dr
Muncie, IN 47304-9434

Phone

(765) 760-4729

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Skyvision Cam

  • Specialist
  • Muncie, IN
  • NPI 1891156014
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1205842556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7804 W ADARE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049434",
            "telephone_number": "765-760-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 W ADARE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049434",
            "telephone_number": "765-760-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANONCILLO",
        "first_name": "ROLANDO",
        "middle_name": "RILE",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "05004452A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Palicka, M.D.
• Nicholas Robert Palumbo, PHARM.D.
• Theodore Collier Pancake
• Priti Pandit, OT
• Ritvika Panghal, MD
• Beth Lynelle Panwitz, PT
• Taryn D Papandria, D.O.
• Joan Helene Pappas, MA, MT-BC
• Michael Park, M.D.
• Nancy Sharon Parkinson, MS RD CD LD

• Specialist in Muncie, IN
• Providers in Muncie, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.