Organization Active NPI

Philip J Orisek, M.D. Inc.

  • Orthopaedic Surgery Physician
  • Folsom, CA
National Provider Identifier
1073539045
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A72978 Issued in CA
Legal business name
PHILIP J ORISEK, M.D. INC.
Practice address
2575 E Bidwell St
Suite 220
Folsom, CA 95630-6444
Phone
(916) 817-6390
Fax
(916) 817-6385
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Philip OrisekNPI 1700812955
Title
President
Phone
(916) 817-6390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A72978 CA Primary

Addresses

Primary practice location

2575 E Bidwell St
Suite 220
Folsom, CA 95630-6444

Mailing address

2575 E Bidwell St
Suite 220
Folsom, CA 95630-6444
Phone (916) 817-6390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060825000365 CA Part B Supplier - Clinic/Group Practice 8527062926 Receives reassigned benefits from 1 practitioner
Practice locations: Folsom, CA
O20100930062583 CA DME Supplier - Physician - Osteopathic Manipulative Medicine 8527062926 Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

2575 E Bidwell St
Ste 220
Folsom, CA 95630
Phone (916) 817-6390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1073539045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "address_2": "SUITE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-817-6390",
            "fax_number": "916-817-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 E BIDWELL ST",
            "address_2": "SUITE 220",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306444",
            "telephone_number": "916-817-6390",
            "fax_number": "916-817-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J ORISEK, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "ORISEK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-817-6390"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A72978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.