Active NPI
Irineo P Pantangco Jr., MD/MBA
- Otolaryngology Physician
- Dublin, OH
National Provider Identifier
1215009709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35100324
- Practice address
- 5857 Dyrham Park
Dublin, OH 43017-3656 - Phone
- (614) 717-9722
- Fax
- (614) 717-9722
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35100324 | OH | Primary |
Addresses
Primary practice location
5857 Dyrham Park
Dublin, OH 43017-3656
Mailing address
5857 Dyrham Park
Dublin, OH 43017-3656
Phone (614) 717-9722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0281985 | Medicaid | OH |
Other names 1
- Irineo P Pantangco Jr.
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
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35100324 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Thoracic & Cardiovascular Surgery | Past | Accepting new patients | |
| Irineo P Pantangco MD Inc | Otolaryngology | Past | Accepting new patients |
| Louis E Vassy MD Inc | 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.
-
- Otolaryngology Physician
- Reynoldsburg, OH
- NPI 1952467680
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1316047343
-
- Surgery Physician
- Columbus, OH
- NPI 1922292572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1215009709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5857 DYRHAM PARK",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173656",
"telephone_number": "614-717-9722",
"fax_number": "614-717-9722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5857 DYRHAM PARK",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173656",
"telephone_number": "614-717-9722",
"fax_number": "614-717-9722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTANGCO",
"first_name": "IRINEO",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "MD/MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35100324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0281985",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRINEO",
"last_name": "PANTANGCO",
"middle_name": "P",
"suffix": "JR.",
"credential": "MD/MBA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.