Individual provider Active NPI

Irene Man-Hsiao, DO

  • Pediatrics Physician
  • Hazle Township, PA
National Provider Identifier
1275527269
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS014215 Issued in PA
Practice address
5024 Old Airport Rd
Hazle Township, PA 18202-3236
Phone
(570) 450-5025
Fax
(570) 450-0100
NPI assigned
Sep 6, 2005
Last updated
Apr 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS014215 PA Primary

Addresses

Primary practice location

5024 Old Airport Rd
Hazle Township, PA 18202-3236

Mailing address

PO Box 1654
Kingston, PA 18704-0654
Phone (570) 474-6093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014215PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaintop Pediatrics PC Pediatrics CurrentSince Apr 10, 2022 Accepting new patients

Locations

5024 Old Airport Rd
Hazle Township, PA 18202
Phone (570) 450-5025

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1275527269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040654",
            "telephone_number": "570-474-6093",
            "fax_number": "570-474-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 OLD AIRPORT RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023236",
            "telephone_number": "570-450-5025",
            "fax_number": "570-450-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAN-HSIAO",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-04-02",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS014215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazle Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.