MEDICARE: JOSEPH A. ISAAC P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA 616	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00165261	OTHER		RAILROAD
3	000000524201	OTHER	KY	BCBS

General Provider Information

NPI Number	:	1750360525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A. ISAAC P.A.

Provider Business Mailing Address
First Line	:	PO BOX 409013
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-9013
Country	:	US
Telephone Number	:	800-377-8721
Fax Number	:	304-523-2241

Provider Business Practice Location Address
First Line	:	625 JAMES S. TRIMBLE BLVD.
Second Line	:
City	:	PAINTSVILLE
State	:	KY
Zip	:	41240-1055
Country	:	US
Telephone Number	:	606-789-3511
Fax Number	:	606-789-1432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	02/13/2025

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Directions to “ JOSEPH A. ISAAC P.A.” Practice Location

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