Provider Demographics
NPI:1386621027
Name:PACHIANO, TRISHA ANNE (DO)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:ANNE
Last Name:PACHIANO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2591 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:STE 201
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3711
Mailing Address - Country:US
Mailing Address - Phone:937-439-5252
Mailing Address - Fax:937-439-9242
Practice Address - Street 1:2591 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:STE 201
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3711
Practice Address - Country:US
Practice Address - Phone:937-439-5252
Practice Address - Fax:937-439-9242
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6550207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2136129Medicaid
OH0887501Medicare PIN
OH2136129Medicaid
OHH151110Medicare PIN