Active NPI
Mark A. Piasio, M.D.
- Orthopaedic Surgery Physician
- Du Bois, PA
National Provider Identifier
1093722472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD-043778-E
- Practice address
- 145 Hospital Ave
Suite 311
Du Bois, PA 15801-1462 - Phone
- (814) 375-9617
- Fax
- (814) 375-9624
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD-043778-E | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave
Suite 311
Du Bois, PA 15801-1462
Mailing address
PO Box 447
Du Bois, PA 15801-0447
Phone (814) 375-9617
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011645720003 | Medicaid | PA | |
| 000403808 | Other | PA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-043778-E | PA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1093722472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158010447",
"telephone_number": "814-375-9617",
"fax_number": "814-375-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 311",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011462",
"telephone_number": "814-375-9617",
"fax_number": "814-375-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIASIO",
"first_name": "MARK",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD-043778-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011645720003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000403808",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.