Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ellen M Iaciofano, PA-C

Individual provider Physician Assistant · NPI 1033677398

Ellen M Iaciofano, PA-C is a Physician Assistant in Cincinnati, Ohio. Graduated from University of Toledo College of Medicine in 2018, 8 years ago. Practices with Promedica Monroe Physicians, a 64-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
8
Trained at
University of Toledo College of Medicine
Licensed in
MI, OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

500 E Business Way
Cincinnati, OH 45241-2374
Phone: (513) 354-3700
Fax: (513) 354-3705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1420 N Monroe St, Monroe, MI 48162-4211 — (734) 240-8480
  • 2121 Hughes Dr # 310, Toledo, OH 43606-3845 — (419) 291-3858

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005864RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 5601010554 (MI)

Record details

NPI number1033677398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESNovember 3, 2023
Certification dateAugust 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Promedica Monroe Physicians — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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