Individual provider Active NPI

Janis Jo Woessner, PA-C

  • Physician Assistant
  • Oil City, PA
National Provider Identifier
1811911035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051068 Issued in PA
Practice address
406 W 1St St
Oil City, PA 16301-2820
Phone
(814) 677-5318
Fax
(814) 677-8794
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MA051068 PA Primary

Addresses

Primary practice location

406 W 1St St
Oil City, PA 16301-2820

Mailing address

406 W 1St St
Oil City, PA 16301-2820
Phone (814) 677-5318

Other identifiers 1

IdentifierTypeStateIssuer
0016625660008MedicaidPA

Other names 1

  • Janis Jo Pastorius Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008974NYMDOccupational Therapy Assistant
MA051068PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Psychiatry PC Past Accepting new patients

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811911035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W 1ST ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012820",
            "telephone_number": "814-677-5318",
            "fax_number": "814-677-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W 1ST ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012820",
            "telephone_number": "814-677-5318",
            "fax_number": "814-677-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOESSNER",
        "first_name": "JANIS",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016625660008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANIS",
            "last_name": "PASTORIUS",
            "middle_name": "JO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oil City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.