David Allen Mizro, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

008379 Issued in NY

Practice address

132 North St
Auburn, NY 13021-1829

Phone

(315) 258-8282

Fax

(315) 258-7386

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josephine C. McAllister, M.D., LLCGroup PAC ID 9739366691, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score

86.56 of 100Reported as group

Quality

92.41

Promoting interoperability

80

Improvement activities

40

Cost

79.45

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dermatology Associates of Ithaca, LLC

  • Dermatology Physician
  • Ithaca, NY
  • NPI 1609170992
  Medicare reassignment Care Compare group
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment
• Marc P Pietropaoli MD PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Skaneateles, NY
  • NPI 1467461376
  Medicare reassignment
• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  NPD (past)
• Auburn Memorial Medical Services, PC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD (past)
• Carl a. Weiss III, M.D. ,PHD, PLLC

  • Surgery Physician
  • Auburn, NY
  • NPI 1578753208
  NPD (past)
• Sean P. Boyle

  • Family Medicine Physician
  • Weedsport, NY
  • NPI 1922150846
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1205882016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211829",
            "telephone_number": "315-258-8282",
            "fax_number": "315-258-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211829",
            "telephone_number": "315-258-8282",
            "fax_number": "315-258-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRO",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Minnoe, RN
• Penny Lou Minnoe, PRESIDENT
• Maria Claire Mintskovsky, PHARMD
• Shirwan Mirza, MD
• Mia Mitchell
• Elizabeth Mizro, MS, ANP
• Kelley A Mizro
• Mobile Dermatology Care PLLC
• Faizo Mohamed
• Aroob Moin, DPM

• Surgical Physician Assistant in Auburn, NY
• Providers in Auburn, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.