Active NPI
Michael Pisano, MSPA-C
- Physician Assistant
- Norristown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051338
- Practice address
- 2701 Dekalb Pike
Norristown, PA 19401-1820 - Phone
- (610) 278-2000
- NPI assigned
- Sep 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051338 | PA | Primary |
Addresses
Primary practice location
2701 Dekalb Pike
Norristown, PA 19401-1820
Mailing address
301 Burnside Ave
Norristown, PA 19403-2607
Phone (610) 630-4616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA051338 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Medical Associates of Drexel Hill, Inc. | Past | Accepting new patients | |
| Emergency Care Services of Pennsylvania, P.C. | Physician Assistant | Past | Accepting new patients |
| Prohealth Select, Inc. | Physician Assistant | Past | Accepting new patients |
| Prospect DCMH, LLC | Past | Accepting new patients |
Locations
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1174991632
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Emergency Medicine Physician
- Wilkes Barre, PA
- NPI 1235374927
Physician Assistant
-
- Nephrology Physician
- Havertown, PA
- NPI 1619929775
-
- Rehabilitation Hospital Unit
- Drexel Hill, PA
- NPI 1164877049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1427154186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BURNSIDE AVE",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194032607",
"telephone_number": "610-630-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 DEKALB PIKE",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194011820",
"telephone_number": "610-278-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "MICHAEL",
"credential": "MSPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.