Individual provider Active NPI

John Richard Pancoast, M.D.

  • Medical Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1649238536
Registry record updated Jan 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
35-036298 Issued in OH
Practice address
234 Goodman St
Barrett Center
Cincinnati, OH 45219-2364
Phone
(513) 584-6928
Fax
(513) 584-4281
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2008

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 35-036298 OH
Medical Oncology Physician 207RX0202X 35-036298 OH Primary

Addresses

Primary practice location

234 Goodman St
Barrett Center
Cincinnati, OH 45219-2364

Mailing address

2830 Victory Pkwy
Ste 310
Cincinnati, OH 45206-3700
Phone (513) 245-3444

Other identifiers 3

IdentifierTypeStateIssuer
4047835MedicaidTN
0390670MedicaidOH
64764582MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-036298OHMDInternal Medicine Physician

Practice roles

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

Organizations & group practices 2

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": "1199491200000",
    "number": "1649238536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "STE 310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452063700",
            "telephone_number": "513-245-3444",
            "fax_number": "513-245-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "address_2": "BARRETT CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-6928",
            "fax_number": "513-584-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCOAST",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-036298",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "35-036298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4047835",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390670",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64764582",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.