JOYCE RAO PANGANAMALA (NPI# 1639391683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639391683 |
| Entity Type | Individual |
| Full Name | JOYCE RAO PANGANAMALA |
| Credential | PA |
| Practice Address |
11029 Montgomery Rd Cincinnati OH 45249-2306 |
| Mailing Address |
Po Box 637676 Cincinnati OH 45263-7676 |
| Practice Telephone | 5138912211 |
| Practice Fax Number | 5138912218 |
| Mailing Telephone | 5138534749 |
| Mailing Fax Number | 5138534743 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | AP2134 | MA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004010 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11029 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45249-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363687 | Thomas W Grimm | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-16 |
| 1528456803 | Anne Jennings | Nurse Practitioner | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2015-01-08 |
| 1104145762 | Anne Vaz | Nurse Practitioner | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2010-05-21 |
| 1992909980 | Sarah M Kindt | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2007-06-13 |
| 1679520993 | Trihealth Physician Practices, LLC | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2006-05-30 |
| 1841282761 | Richard H Vonderbrink | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-17 |
| 1366434391 | Jeffrey W Merling | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-16 |
| 1427040450 | Douglas C Moody | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668526 | Kayla Murray | Midwife | 8763 Weller Road, Cincinnati, OH 45249 | 2017-06-08 |
| 1992041214 | Ohio River Laboratories, LLC | Clinical Medical Laboratory | Ohio River Laboratories, LLC, 1841 Mason Montgomery Rd, Unit 1c, Cincinnati, OH 45249 | 2012-12-13 |
| 1073832762 | Aurora Home Care Inc. | In Home Supportive Care | 9042 Winthrop Drive, Cincinnati, OH 45249 | 2010-05-20 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1114105244 | Individual Care Center | Community/Behavioral Health | 8833 Chapel Square Lane, Cincinnati, OH 45249 | 2008-01-31 |
| 1083823553 | James Michael Fuchs | Dentist | 8805 Governors Hill, #105, Cincinnati, OH 45249 | 2007-05-22 |
| 1871715474 | Conrad Thomas Landing | Physical Therapist | 8650 Govenors Hill Dr., Cincinnati, OH 45249 | 2007-05-03 |
| 1649317108 | Dr. E. M. Kirstein & Associates, Inc. | Optometrist | 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 | 2007-01-31 |
| 1790821791 | Melissa Elaine Bowman | Optometrist | 11919 Montgomery Rd, Cincinnati, OH 45249 | 2007-01-29 |
| 1477621258 | Sergio L Mezcua | Internal Medicine | 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | 2006-12-01 |
| Find all providers in zip 45249 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1508340696 | Samantha Hastie Wheeler | Physician Assistant | 8099 Cornell Rd Ste 100, Cincinnati, OH 45249-2231 | 2018-09-24 |
| 1134653314 | Ashley E Hefner | Physician Assistant | 10506 Montgomery Rd., Suite 209, Cincinnati, OH 45242 | 2017-04-14 |
| 1912370545 | Sarah H Wilson | Physician Assistant | 4421 Eastgate Blvd Ste 300, Cincinnati, OH 45245-4501 | 2015-11-04 |
| 1790189090 | Kaycie Klausing | Physician Assistant | 4685 Forest Ave Ste C, Cincinnati, OH 45212-3359 | 2014-10-15 |
| 1578871935 | Brittany L Wilson | Physician Assistant | 12029 Sheraton Ln, Cincinnati, OH 45246 | 2010-09-20 |
| 1346327582 | Deborah M. Wiater | Physician Assistant | 12049 Wesken Ln, Cincinnati, OH 45241-1720 | 2006-11-01 |
| 1497854426 | Laurie Ann Einwald | Physician Assistant | 2925 Vernon Pl Ste 100, Cincinnati, OH 45219-2425 | 2006-09-22 |
| 1700342862 | Steven Haunschild | Physician Assistant | 234 Goodman St, Cincinnati, OH 45219-2364 | 2019-02-13 |
| 1700248374 | Robert Pare | Physician Assistant | 5400 Kennedy Ave, Cincinnati, OH 45213-2664 | 2016-03-23 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45249 |
Please comment or provide details below to improve the information on JOYCE RAO PANGANAMALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.