Brandy Piacentino, PA-C, MPAS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2388 Issued in OH

Practice address

1947 Harrington Memorial Rd
Mansfield, OH 44903-8049

Phone

(419) 520-6240

NPI assigned

Aug 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1982712345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 WHETSTONE RIVER RD S",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433028937",
            "telephone_number": "740-360-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 HARRINGTON MEMORIAL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449038049",
            "telephone_number": "419-520-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIACENTINO",
        "first_name": "BRANDY",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Pfeiffer, RPH
• Andrea Phelps
• Martha Beck Philippon, OTR
• Amy Kathleen Phillips, RN, BSN
• Erica Lyn Phillips
• Emily Nicole Pickett, AUD
• Courtney Picman
• Derek John Pidgeon, CPS
• Olivia J. Pidgeon
• Donna Pierce, CNP

• Medical Physician Assistant in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.