Active NPI
Terrence L Pansino, M.D.
- Internal Medicine Physician
- Louisville, OH
National Provider Identifier
1942206883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-05-3559
- Practice address
- 1917 Williamsburg Way NE
Louisville, OH 44641-8781 - Phone
- (330) 875-3366
- Fax
- (330) 875-1106
- NPI assigned
- Jun 24, 2005
- Last updated
- Sep 12, 2016
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-05-3559 | OH | Primary |
Addresses
Primary practice location
1917 Williamsburg Way NE
Louisville, OH 44641-8781
Mailing address
3515 Massillon Rd
Suite 300
Uniontown, OH 44685-6400
Phone (330) 899-9350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0584753 | Other | OH | MEDICARE PTAN |
| 0628155 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Medical Center Physicians Inc. | Internal Medicine | Current | Accepting new patients |
Locations
1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Louisville, OH
- NPI 1760452585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1942206883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 MASSILLON RD",
"address_2": "SUITE 300",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446856400",
"telephone_number": "330-899-9350",
"fax_number": "330-634-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 WILLIAMSBURG WAY NE",
"city": "LOUISVILLE",
"state": "OH",
"postal_code": "446418781",
"telephone_number": "330-875-3366",
"fax_number": "330-875-1106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANSINO",
"first_name": "TERRENCE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-05-3559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0584753",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0628155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.