Mary Ann Dibiagio, D.O., PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005303L Issued in PA

Legal business name

MARY ANN DIBIAGIO, D.O., PC

Practice address

163 Chapel Dr
Ellwood City, PA 16117-5003

Phone

(724) 758-7559

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Dibiagio, D.O.

Title

Owner/President

Phone

(724) 758-7559

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1043608391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CHAPEL DR",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161175003",
            "telephone_number": "724-758-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 CHAPEL DR",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161175003",
            "telephone_number": "724-758-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN DIBIAGIO, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "DIBIAGIO",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "724-758-7559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005303L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009552780004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Mangiapane, OTR/L
• Shannon Manz-Wallace, LPC
• Martin Charles Marion, DMD
• James F Mars, PTA
• Mary Ann Dibiagio DO PC
• Julia Mascharka
• Joanna McAfee
• Michael K McFarland, PT
• Medicine Shoppe
• Michael George Metelsky, DPT

• Family Medicine Physician in Ellwood City, PA
• Providers in Ellwood City, 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 Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.