Individual provider Active NPI

Paul W. Bisio, D.O.

  • Family Medicine Physician
  • Mount Pocono, PA
National Provider Identifier
1245205608
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009607L Issued in PA
Practice address
21 Commerce Cir
Mount Pocono, PA 18344-1362
Phone
(570) 839-3633
Fax
(570) 839-6490
NPI assigned
Feb 21, 2006
Last updated
Mar 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009607L PA Primary

Addresses

Primary practice location

21 Commerce Cir
Mount Pocono, PA 18344-1362

Mailing address

100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050607001142 PA Practitioner - Family Practice 9234172594
I20180426000481 NJ Practitioner - Family Practice 9234172594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009607LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Penn Medical Center Family Medicine CurrentSince Feb 1, 2016 Accepting new patients

Locations

1003 Chestnut St
Emmaus, PA 18049
Phone (610) 928-1150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1245205608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178223034",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 COMMERCE CIR",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441362",
            "telephone_number": "570-839-3633",
            "fax_number": "570-839-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIO",
        "first_name": "PAUL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009607L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pocono, PA

Sources for this page

Verify at the official NPI Registry.