Active NPI
Julia Lynn Pasquale, MD
- Emergency Medicine Physician
- Portsmouth, OH
National Provider Identifier
1508985227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.096789
- Practice address
- 1901 Argonne Rd
Portsmouth, OH 45662-2827 - Phone
- (740) 991-0911
- Fax
- (740) 991-6050
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01621 | WV | |
| Internal Medicine Physician | 207R00000X | 35.096789 | OH | |
| Emergency Medicine Physician | 207P00000X | 35.096789 | OH | Primary |
Addresses
Primary practice location
1901 Argonne Rd
Portsmouth, OH 45662-2827
Mailing address
PO Box 2379
Ashland, KY 41105-2379
Phone (606) 408-6200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2779408 | Medicaid | OH | |
| 000000477502 | Other | OH | OH MEDICAID UNISON |
| P00387444 | Other | MEDICARE-RR PROVIDER NUMBER |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.096789 | OH | MD | Emergency Medicine Physician |
| 01621 | WV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Internal Medicine | Current | Accepting new patients |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Internal Medicine | Current | Accepting new patients |
| 4M Emergency Systems of Parkersburg, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911
1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
Interoperability endpoints
- jpasquale66320@direct.kdhealth.us
Organizations & group practices 4
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
- Ashland, KY
- NPI 1497083539
Internal Medicine, OH
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
Internal Medicine
-
- Emergency Medicine Physician
- Parkersburg, WV
- NPI 1295787349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1508985227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2379",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411052379",
"telephone_number": "606-408-6200",
"fax_number": "606-408-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 ARGONNE RD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622827",
"telephone_number": "740-991-0911",
"fax_number": "740-991-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUALE",
"first_name": "JULIA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "01621",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.096789",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.096789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2779408",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAID UNISON",
"identifier": "000000477502",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RR PROVIDER NUMBER",
"identifier": "P00387444",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.