John Kincinas, PA
Physician Assistant in Pontiac, IL. Individual provider (NPI-1).
NPI number1477572154
StatusActive
Last updated in NPPESDec 16, 2013
Details
- NPI
- 1477572154
- Entity type
- Individual (NPI-1)
- Name
- John Kincinas
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Dec 16, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085002155 | IL | Yes |
Practice location
2500 W Reynolds StPontiac, IL 61764-9774
Phone 815-844-4062 · Fax 815-844-4962
Mailing address
2500 W Reynolds StPontiac, IL 61764-9774
Phone 815-844-4062 · Fax 815-844-4962
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Physician Assistant providers in Pontiac · All 341 providers in Pontiac
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