Pai Participant 1 LLC
NPI 1093371312 · Geriatric Medicine (Internal Medicine) Physician · Chillicothe, OH
Provider details
- NPI number
- 1093371312
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Ford, Authorized Offical(859) 291-4800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 13755 Golf Club PkwyFort Myers, FL 33919-5146Phone: (239) 482-2848Fax: (239) 482-7321
- 7700 York RdTowson, MD 21204-7513Phone: (410) 821-5500
- 505 Couch AveKirkwood, MO 63122-5577Phone: (314) 909-6010
Registry dates
- Enumerated
- 2019-05-13
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.