Harry P Izbicki Jr., DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS013131 Issued in PA

Practice address

3424 Peach St.
Izbikci Family Medicine, PC.
Erie, PA 16508-2740

Phone

(814) 864-3749

Fax

(814) 864-9757

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 10, 2013 through Jan 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Izbicki Family Medicine PC

  • Family Medicine Physician
  • Erie, PA
  • NPI 1346579331
  NPD

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1033118252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE STREET, SUITE 16, LL",
            "address_2": "IZBIKCI FAMILY MEDICINE, PC.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16501",
            "telephone_number": "814-877-7100",
            "fax_number": "814-877-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 PEACH ST.",
            "address_2": "IZBIKCI FAMILY MEDICINE, PC.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082740",
            "telephone_number": "814-864-3749",
            "fax_number": "814-864-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZBICKI",
        "first_name": "HARRY",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "DS 013131",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS013131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Iszkula, LSW
• Steven Iszkula, D.M.D.
• Jonathan William Ivy, PH.D., BCBA-D
• Shruti Naveen Iyer, M.B.B.S.
• Izbicki Family Medicine PC
• Jonathon A Izbicki, DO
• Mark R Izzo, MD
• J D Utley Jr DMD PC
• Ahmed Jabir, DO
• Khith Jabir

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.