NPIMap

Individual provider Active NPI

Joseph Edward Palascak, M.D.

  • Hematology (Internal Medicine) Physician
  • Cincinnati, OH
National Provider Identifier
1205894151
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
35-046787 Issued in OH
Practice address
3125 Eden Ave
ML 0508
Cincinnati, OH 45267
Phone
(513) 558-2184
Fax
(513) 558-2124
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-046787 OH
Hematology (Internal Medicine) Physician 207RH0000X 35-046787 OH Primary

Addresses

Primary practice location

3125 Eden Ave
ML 0508
Cincinnati, OH 45267

Mailing address

3125 Eden Ave
ML 0508
Cincinnati, OH 45267
Phone (513) 558-2184

Other identifiers 3

IdentifierTypeStateIssuer
200123940MedicaidIN
0490464MedicaidOH
64769482MedicaidKY

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-046787OHMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hematology Oncology Care, Inc. Hematology Past Accepting new patients
University Internal Medicine Associates, Inc. Internal Medicine Past Accepting new patients
University of Cincinnati Hematology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1205894151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 EDEN AVE",
            "address_2": "ML 0508",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45267",
            "telephone_number": "513-558-2184",
            "fax_number": "513-558-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 EDEN AVE",
            "address_2": "ML 0508",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45267",
            "telephone_number": "513-558-2184",
            "fax_number": "513-558-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALASCAK",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-046787",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "OH",
            "license": "35-046787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200123940",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490464",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64769482",
            "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 Aug 10, 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.