Individual provider Active NPI

John Manford Pascoe, MD

  • Developmental - Behavioral Pediatrics Physician
  • Dayton, OH
National Provider Identifier
1750347712
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
35.045477 Issued in OH
Practice address
1010 Valley St
Dayton, OH 45404-2070
Phone
(937) 641-4000
Fax
(937) 641-4500
NPI assigned
Apr 26, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35045477 OH
Developmental - Behavioral Pediatrics Physician 2080P0006X 35.045477 OH Primary

Addresses

Primary practice location

1010 Valley St
Dayton, OH 45404-2070

Mailing address

PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-4000

Other practice location 1

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3000

Other practice location 2

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 324-1111

Other identifiers 1

IdentifierTypeStateIssuer
0438404MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627003417 OH Practitioner - Pediatric Medicine 9133475593 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35045477OHMDPediatrics Physician
35.045477OHMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Feb 15, 2021 Accepting new patients
Rocking Horse Childrens Health Center CurrentSince May 20, 2018 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Feb 15, 2021 Accepting new patients
Rocking Horse Childrens Health Center CurrentSince May 20, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Wright State Physicians Inc Past Accepting new patients

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1010 Valley St
Dayton, OH 45404
Phone (937) 641-3185

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

212 N Main St
London, OH 43140
Phone (740) 845-7000

601 Selma Rd
Springfield, OH 45505
Phone (937) 324-7423

651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111

Interoperability endpoints

  • Direct secure messaging: john.pascoe.p1@direct.rockinghorsecenter.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1750347712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933432",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 VALLEY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042070",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 S Limestone St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051965",
            "country_code": "US",
            "telephone_number": "937-324-1111",
            "fax_number": "937-322-3368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "JOHN",
        "middle_name": "MANFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35045477",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "OH",
            "license": "35.045477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.