NPIMap

Individual provider Active NPI

Edouard Joseph Tassy, PA

  • Medical Physician Assistant
  • Chillicothe, OH
National Provider Identifier
1760442875
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50. 001644 Issued in OH
Practice address
17273 State Route 104
Chillicothe, OH 45601-8608
Phone
(740) 773-1141
NPI assigned
Mar 23, 2006
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 716875 ID
Medical Physician Assistant 363AM0700X 50. 001644 OH Primary

Addresses

Primary practice location

17273 State Route 104
Chillicothe, OH 45601-8608

Mailing address

17273 State Route 104
Chillicothe, OH 45601-8608
Phone (740) 773-1141

Other practice location 1

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180110003586 OH Practitioner - Physician Assistant 3375781750 Reassigns benefits to 4 organizations
I20240910004171 ID Practitioner - Physician Assistant 3375781750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-2186

1430 Columbus Ave
Washington Court House, OH 43160-1703
Phone (740) 335-1210

181 Taylor Ave
Columbus, OH 43203-1779
Phone (614) 257-2358

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

709 N Lincoln Ave
Jerome, ID 83338-1851
Phone (208) 814-9500

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003786GAMDPsychologist
716875IDMDPhysician Assistant
50. 001644OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Physicians Group-Pannu PLLC CurrentSince Aug 27, 2024 Accepting new patients
Rural Physicians Group-Pannu PLLC Physician Assistant CurrentSince Aug 27, 2024 Accepting new patients

Locations

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

709 N Lincoln Ave
Jerome, ID 83338
Phone (208) 324-4301

895 N 6th E
Mtn Home, ID 83647
Phone (208) 580-2661

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1760442875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018608",
            "telephone_number": "740-773-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018608",
            "telephone_number": "740-773-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Jerome",
            "state": "ID",
            "postal_code": "833381851",
            "country_code": "US",
            "telephone_number": "208-814-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASSY",
        "first_name": "EDOUARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "716875",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50. 001644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.