Individual provider Active NPI

Jose G Panszi, M.D.

  • Neurology Physician
  • Bluffton, IN
National Provider Identifier
1861465908
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01024254 Issued in IN
Practice address
303 S Main St
Bluffton, IN 46714-2503
Phone
(260) 919-3454
Fax
(260) 919-3560
NPI assigned
Feb 9, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01024254 IN Primary

Addresses

Primary practice location

303 S Main St
Bluffton, IN 46714-2503

Mailing address

303 S Main St
Bluffton, IN 46714-2503
Phone (260) 919-3454

Other identifiers 2

IdentifierTypeStateIssuer
100106020AMedicaidIN
0430957MedicaidOH

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01024254INMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1861465908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-919-3454",
            "fax_number": "260-919-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467142503",
            "telephone_number": "260-919-3454",
            "fax_number": "260-919-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANSZI",
        "first_name": "JOSE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01024254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106020A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.