Active NPI
Richard Panicco, DO
- Specialist
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OS003143L
- Practice address
- 80 Landings Drive
Suite 205
Washington, PA 15301-9408 - Phone
- (724) 941-3020
- NPI assigned
- Apr 5, 2006
- Last updated
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OS003143L | PA | Primary |
Addresses
Primary practice location
80 Landings Drive
Suite 205
Washington, PA 15301-9408
Mailing address
80 Landings Drive
Suite 205
Washington, PA 15301-9408
Phone (724) 941-3020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000680102004 | Medicaid | PA | |
| 108119 | Other | PA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Philadelphia College of Osteopathic Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerville Clinics, Inc.
Practice addresses (Care Compare)
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801
2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 57 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients |
Locations
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
80 Landings Dr
Ste 205
Washington, PA 15301
Phone (724) 941-3020
236 Elm Dr
Ste 102
Waynesburg, PA 15370
Phone (724) 678-0282
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- richard.pannico.1@33484.direct.athenahealth.com
- rpanicco@a3f26109.micromddirect.com
Organizations & group practices 4
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.
-
dba Digestive Disease Associates, LTD
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Specialist
- Washington, PA
- NPI 1154363893
-
dba Mid-Atlantic Gastrointestinal Center
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
-
dba Mid-Atlantic Gastrointestinal Center
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Washington Health System Greene
- General Acute Care Hospital
- Waynesburg, PA
- NPI 1225417421
-
- Special Hospital
- Washington, PA
- NPI 1336459452
-
- General Acute Care Hospital
- Washington, PA
- NPI 1609984889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1891757621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 LANDINGS DRIVE",
"address_2": "SUITE 205",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019408",
"telephone_number": "724-941-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 LANDINGS DRIVE",
"address_2": "SUITE 205",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019408",
"telephone_number": "724-941-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANICCO",
"first_name": "RICHARD",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "OS003143L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000680102004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "108119",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.