Provider Demographics
NPI:1437667797
Name:PAGANI, ANGELO J (PA-C)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:J
Last Name:PAGANI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:784 MEDINA RD STE 107
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-9634
Mailing Address - Country:US
Mailing Address - Phone:330-591-9635
Mailing Address - Fax:330-591-4150
Practice Address - Street 1:784 MEDINA RD STE 107
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9634
Practice Address - Country:US
Practice Address - Phone:330-591-9635
Practice Address - Fax:330-591-4150
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50005467RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0263330Medicaid