Individual provider Active NPI

Sirintra Parnichyakorn, PA-C

  • Physician Assistant
  • Chillicothe, OH
National Provider Identifier
1457753725
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004205RX Issued in OH
Practice address
272 Hospital Rd Ste G70
Chillicothe, OH 45601-9031
Phone
(740) 779-4393
NPI assigned
Sep 18, 2014
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004205RX OH Primary

Addresses

Primary practice location

272 Hospital Rd Ste G70
Chillicothe, OH 45601-9031

Mailing address

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (855) 446-5937

Other practice location 1

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (855) 446-5937

Other identifiers 1

IdentifierTypeStateIssuer
0115101MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sirintra.parnichyakorn.1@17389.direct.athenahealth.com
Direct Messaging Address adena.ent@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107000833 OH Practitioner - Physician Assistant 7810210499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004205RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 16, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 16, 2023 Accepting new patients

Locations

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

Interoperability endpoints

  • Direct secure messaging: sirintra.parnichyakorn.1@17389.direct.athenahealth.com
  • Direct secure messaging: sparnichyakorn1171907@direct.osumc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1457753725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "855-446-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE G70",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Jackson Pike",
            "address_purpose": "LOCATION",
            "city": "Gallipolis",
            "state": "OH",
            "postal_code": "456311560",
            "country_code": "US",
            "telephone_number": "855-446-5937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARNICHYAKORN",
        "first_name": "SIRINTRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004205RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115101",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sirintra.parnichyakorn.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 Jackson Pike",
            "city": "Gallipolis",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456311560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.ent@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd Ste G70",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.