JOHN KINCINAS PA
NPI 1477572154
Physician Assistant in Pontiac, IL

Q: What is John Kincinas's NPI number?

The NPI number for John Kincinas is 1477572154. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is John Kincinas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Kincinas was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2006

2500 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-4062(815) 844-4962 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Kincinas Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN KINCINAS PA (NPI 1477572154) is an individual physician assistant in Pontiac, Illinois, licensed in Illinois (085002155) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1477572154

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHN KINCINASCredential: PA

Location Address2500 W REYNOLDS STPontiac, IL 61764-9774

Mailing Address2500 W Reynolds StPontiac, IL 61764-9774 · (815) 844-4062 · Fax (815) 844-4962

Phone(815) 844-4062

Fax(815) 844-4962

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateDecember 16, 2013

✔ NPI 1477572154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085002155

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2500 W REYNOLDS ST, Pontiac, IL 61764

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Other Identifiers 3

Medicare UPINQ14127

Medicare ID-Type UnspecifiedK06134

Other5315769Blue Cross Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY RUFF

Occupational Therapist