Organization Active NPI

Prisk Orthopaedics and Wellness, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Monroeville, PA
National Provider Identifier
1306354311
Registry record updated Jun 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
PRISK ORTHOPAEDICS AND WELLNESS, PC
Practice address
2490 Mosside Blvd
Monroeville, PA 15146-4236
Phone
(412) 525-7692
Fax
(412) 646-1995
NPI assigned
Jan 12, 2018
Last updated
Jun 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2019

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

Authorized official

Name
Dr. Victor Robert Prisk, MDNPI 1710921978
Title
Owner
Phone
(412) 525-7692

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary
Sports Physical Therapist 2251S0007X NU

Addresses

Primary practice location

2490 Mosside Blvd
Monroeville, PA 15146-4236

Mailing address

2490 Mosside Blvd
Monroeville, PA 15146-4236
Phone (412) 525-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180302000331 PA Part B Supplier - Clinic/Group Practice 1153682380 Receives reassigned benefits from 5 practitioners
Practice locations: Monroeville, PA
O20230630001081 PA DME Supplier - Multi-Specialty - Physician 1153682380 Practice locations: Monroeville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561161600000",
    "number": "1306354311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464236",
            "telephone_number": "412-525-7692",
            "fax_number": "412-646-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464236",
            "telephone_number": "412-525-7692",
            "fax_number": "412-646-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISK ORTHOPAEDICS AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-06-22",
        "status": "A",
        "authorized_official_last_name": "PRISK",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-525-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.