Individual provider Active NPI

Joseph A. Isaac, P.A.

  • Physician Assistant
  • Paintsville, KY
National Provider Identifier
1750360525
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 616 Issued in KY
Practice address
625 James S. Trimble Blvd.
Paintsville, KY 41240-1055
Phone
(606) 789-3511
Fax
(606) 789-1432
NPI assigned
Jan 11, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 PA 616 KY Primary

Addresses

Primary practice location

625 James S. Trimble Blvd.
Paintsville, KY 41240-1055

Mailing address

PO Box 409013
Atlanta, GA 30384-9013
Phone (800) 377-8721

Other practice location 1

6216 Highland Place Way Ste 102
Knoxville, TN 37919-4068
Phone (865) 470-6121

Other identifiers 3

IdentifierTypeStateIssuer
000000524201OtherKYBCBS
95000709MedicaidKY
P00165261OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040929000781 KY Practitioner - Physician Assistant 7911976618 Reassigns benefits to 3 organizations
I20250220000300 TN Practitioner - Physician Assistant 7911976618 Reassigns benefits to 2 organizations
I20250514001252 IN Practitioner - Physician Assistant 7911976618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encore Wound Care - Indiana LLCGroup PAC ID 5597293167, 8 clinicians

Practice addresses (Care Compare)

5635 W 96TH St
Suite 300B
Indianapolis, IN 46278-6025
Phone (440) 652-8748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 616KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Family Practice PSC Past Accepting new patients

Organizations & group practices 7

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1750360525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849013",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JAMES S. TRIMBLE BLVD.",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401055",
            "telephone_number": "606-789-3511",
            "fax_number": "606-789-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6216 Highland Place Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194068",
            "country_code": "US",
            "telephone_number": "865-470-6121",
            "fax_number": "866-549-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAAC",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA 616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000524201",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95000709",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00165261",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.