Dicesare Orthopedic Medicine LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

DICESARE ORTHOPEDIC MEDICINE LLC

Practice address

438 Pellis Rd
Greensburg, PA 15601-7900

Phone

(724) 261-4080

Fax

(724) 261-4081

NPI assigned

Apr 14, 2020

Last updated

May 4, 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, MDNPI 1184862427

Title

President

Phone

(724) 261-4080

Specialties & licenses 1

Addresses

Electronic endpoints 1

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
  • North Huntingdon, PA
  • NPI 1003422031

  3173954138

  Same PAC ID

Locations

Practitioners 1

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
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1114546736",
    "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": "412-261-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017900",
            "telephone_number": "724-261-4080",
            "fax_number": "724-261-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICESARE ORTHOPEDIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greensburgortho.com",
            "affiliation": "N",
            "address_1": "4727 Route 30 Ste 2",
            "city": "Greensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156017270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Nicole Diandreth-Smith, DPT
• Jamie P Diandreth, PT
• Nicholas Diandreth
• Diane Kerrigan Counseling LLC
• Jill Alaine Dibert, OTRL
• Jacob A Dicesare, DO
• Abigail Diehl, PA-C
• Kristen Diehl
• Susanne Miller Diemert, MSW, LCSW, ACSW
• Erin Dieter, CRNP

• Sports Medicine (Family Medicine) Physician in Greensburg, PA
• Providers in Greensburg, 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 May 4, 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.