Active NPI
Julie A Lanter, PA-C
- Physician Assistant
- Fairfield, OH
National Provider Identifier
1699775551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.001643
- Practice address
- 2818 Mack Rd
Fairfield, OH 45014-5130 - Phone
- (513) 900-0750
- Fax
- (513) 816-7631
- NPI assigned
- Jul 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.001643 | OH | Primary |
Addresses
Primary practice location
2818 Mack Rd
Fairfield, OH 45014-5130
Mailing address
2818 Mack Rd
Fairfield, OH 45014-5130
Phone (513) 900-0750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95002291 | Medicaid | KY |
Other names 1
- Julie A Pettit
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.001643 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Emergency Physicians, Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | 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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Franklin, OH
- NPI 1932108784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1699775551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145130",
"telephone_number": "513-900-0750",
"fax_number": "513-816-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 MACK RD",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145130",
"telephone_number": "513-900-0750",
"fax_number": "513-816-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTER",
"first_name": "JULIE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.001643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002291",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "PETTIT",
"middle_name": "A",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.