JOHN L PANACCIONE MD NPI 1285655621

NPI Information

NPI: 1285655621
Provider Name: JOHN L PANACCIONE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 399-5550
Get Directions

John L Panaccione, MD is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John L Panaccione, MD NPI is 1285655621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3599 UNIVERSITY BLVD S
BUILDING 300
JACKSONVILLE, FL
ZIP 32216-252
Phone: (904) 399-5550
Fax: (904) 346-4334

The NPI 1285655621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	ME55356	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10629	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	300116101	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RAILROAD
3	00690104B	MEDICAID	GEORGIA
4	10629	OTHER	FLORIDA	BCBS
5	E52998	MEDICARE UPIN	FLORIDA
6	063285600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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