Jaskaran Singh Sidhu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.008072RX Issued in OH

Practice address

30 Warder St
Springfield, OH 45504-2500

Phone

(937) 328-2310

NPI assigned

Apr 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Healthcare Center IncGroup PAC ID 2062446495, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
• Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jaskaran.sidhu.1@20834.direct.athenahealth.com

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.

• Springfield Healthcare Center Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1639142367
  Medicare reassignment Care Compare group

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

• Community Mercy Health Partners

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1144286402
  Care Compare affiliation
• Community Mercy Health Partners

  • Clinical Medical Laboratory
  • Springfield, OH
  • NPI 1477217297

  Hospital

  Care Compare affiliation
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1922796242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WARDER ST STE 100",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042577",
            "telephone_number": "937-328-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-328-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JASKARAN",
        "middle_name": "SINGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008072RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Short
• Alyssa Shovlin, MA, CCC-SLP
• Nicole C Showalter, MSN, APRN, CPNP-PC
• Mark Timothy Shue, D.D.S.
• Pam Shuler
• Sight for Sore Eyes
• Sight Vision Care LLC
• Marilyn L Sigler, LPN
• Nicole Silz, FNP-C
• Humphrey Errol Simmons

• Physician Assistant in Springfield, OH
• Providers in Springfield, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.

Verify at the official NPI Registry.