JOHN R PANNESE MD NPI 1912995051

NPI Information

  • NPI: 1912995051
  • Provider Name: JOHN R PANNESE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 950 CAMPBELL AVE
    WEST HAVEN, CT
    ZIP 06516
  • Phone: (203) 932-5711

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NPI Details

John R Pannese, MD is a diagnostic radiology radiology in West Haven, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John R Pannese, MD NPI is 1912995051. 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:

950 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711

The enumeration date for this NPI number is 10/12/2005 and was last updated on 9/10/2015.

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
12085R0202XRadiologyDiagnostic Radiology032701CONNECTICUTYes

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
1F32378MEDICARE UPINCONNECTICUT
2300003739MEDICARE PINCONNECTICUT
31327015MEDICAIDCONNECTICUT

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: 3/30/2025

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