Active NPI
Paul M Izes PC
- Family Medicine Physician
- Southampton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006987L
- Legal business name
- PAUL M IZES PC
- Practice address
- 720 2ND Street Pike Ste 105
Southampton, PA 18966-5902 - Phone
- (215) 322-5575
- Fax
- (215) 322-6806
- NPI assigned
- Dec 4, 2006
- Last updated
- Apr 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul M Izes, DO
- Title
- Physician
- Phone
- (215) 322-5575
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006987L | PA | Primary |
Addresses
Primary practice location
720 2ND Street Pike Ste 105
Southampton, PA 18966-5902
Mailing address
720 2ND Street Pike Ste 105
Southampton, PA 18966-5902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0976704 | Paul M Izes DO | Certificate of waiver | Aug 10, 2024 |
National Provider Directory
National Provider DirectoryLocations
720 2nd Street Pike
Ste 105
Southampton, PA 18966
Phone (215) 322-5575
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Southampton, PA
- NPI 1871684944
-
- Family Medicine Physician
- Horsham, PA
- NPI 1215978200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1184782328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 2ND STREET PIKE STE 105",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189665902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 2ND STREET PIKE STE 105",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189665902",
"telephone_number": "215-322-5575",
"fax_number": "215-322-6806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL M IZES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "IZES",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "215-322-5575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006987L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.