Dicesare Orthopedic Medicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

DICESARE ORTHOPEDIC MEDICINE LLC

Practice address

8775 Norwin Ave Ste 107
North Huntingdon, PA 15642-7705

Phone

(724) 261-4080

Fax

(724) 261-4081

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob A Dicesare, DONPI 1184862427

Title

President

Phone

(724) 261-4080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dicesare Orthopedic Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Greensburg, PA
  • NPI 1114546736

  3173954138

  Same PAC ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob A Dicesare, DO

  • Sports Medicine (Family Medicine) Physician
  • Greensburg, PA
  • NPI 1184862427
  NPD Authorized official
• Hannah Erdely, CRNP

  • Family Nurse Practitioner
  • Mt Pleasant, PA
  • NPI 1124707815
  NPD (past)
• Rachel Fasson Esposito, D.O.

  • Family Medicine Physician
  • Mt Pleasant, PA
  • NPI 1770577793
  NPD (past)
• Gina Lucia Gruber, PA

  • Surgical Oncology Physician
  • Pittsburgh, PA
  • NPI 1164017307
  NPD (past)
• Amanda Nutter, CRNP

  • Family Nurse Practitioner
  • McMurray, PA
  • NPI 1922611151
  NPD (past)
• Amy E Schleifer, PA-C

  • Physician Assistant
  • Mt Pleasant, PA
  • NPI 1194784363
  NPD (past)
• Morgan Leigh Shields, CRNP

  • Family Nurse Practitioner
  • Belle Vernon, PA
  • NPI 1306447651
  NPD (past)
• Grace Warwick

  • Family Nurse Practitioner
  • Connellsville, PA
  • NPI 1730833724
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1003422031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BOVARD",
            "state": "PA",
            "postal_code": "156190007",
            "telephone_number": "724-261-4080",
            "fax_number": "724-261-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE STE 107",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156427705",
            "telephone_number": "724-261-4080",
            "fax_number": "724-261-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICESARE ORTHOPEDIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "DICESARE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-261-4080",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bette Lou Davis
• Zaidy A De Leon-Nunez Diaz
• Mary Demski, PHARMD
• Dental Professionals of Pennsylvania, P.C. (Keystone Mini Dental Implant Center, LLC)
• Dental Professionals of Pennsylvania, P.C. (Aiello Dental Associates)
• Digestive Care Consultants PC
• Catharine Merritt Dixon, PT
• Alexa K. Dodgson
• Dominic Sabatini DMD (A New U Dental & Wellness Center)
• Erin Kelly Donnelly

• Sports Medicine (Family Medicine) Physician in North Huntingdon, PA
• Providers in North Huntingdon, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.