Individual provider Active NPI

William S Isaacson, MD

  • Interventional Pain Medicine Physician
  • Havertown, PA
National Provider Identifier
1164417648
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD029698E Issued in PA
Practice address
2010 Old West Chester Pike
Suite 330
Havertown, PA 19083
Phone
(610) 789-8070
Fax
(610) 789-9937
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD029698E PA
Interventional Pain Medicine Physician 208VP0014X MD029698E PA Primary
Pain Medicine Physician 208VP0000X MD029698E PA

Addresses

Primary practice location

2010 Old West Chester Pike
Suite 330
Havertown, PA 19083

Mailing address

PO Box 650782
Dallas, TX 75265
Phone (610) 789-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000024 PA Practitioner - Anesthesiology 2264345719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Pennsylvania, LLC PastSince Apr 11, 2005 Accepting new patients
Haverford Anesthesia Associates, PC Anesthesiology PastSince Nov 11, 2003 Accepting new patients
Pinnacle Mid-Atlantic Pain Medicine, PC Anesthesiology Past Accepting new patients
Center for Pain Medicine PC PastSince Apr 1, 2002 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Anesthesiology PastSince Sep 15, 2019 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1164417648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650782",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD029698E",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD029698E",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD029698E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.