Active NPI
Michael Norman Pisick, MD
- Gastroenterology Physician
- Natick, MA
National Provider Identifier
1396818977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35732
- Practice address
- 12 West Central St
Natick, MA 01760 - Phone
- (508) 653-8685
- Fax
- (508) 651-1085
- NPI assigned
- Nov 15, 2006
- Last updated
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35732 | MA | |
| Gastroenterology Physician | 207RG0100X | 35732 | MA | Primary |
Addresses
Primary practice location
12 West Central St
Natick, MA 01760
Mailing address
12 West Central St
Natick, MA 01760
Phone (508) 653-8685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045702 | Medicaid | MA |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1396818977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WEST CENTRAL ST",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-653-8685",
"fax_number": "508-651-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WEST CENTRAL ST",
"city": "NATICK",
"state": "MA",
"postal_code": "01760",
"telephone_number": "508-653-8685",
"fax_number": "508-651-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISICK",
"first_name": "MICHAEL",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "35732",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "35732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2045702",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.