Individual provider Active NPI

Stanley Mizikowski, MD

  • Emergency Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1447295605
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD071934L Issued in PA
Practice address
2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348
Phone
(412) 432-7424
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD071934L PA Primary

Addresses

Primary practice location

2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348

Mailing address

2 Hot Metal St
Ermi Quantum One
Pittsburgh, PA 15203-2348
Phone (412) 432-7424

Other practice location 1

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-1851

Other identifiers 1

IdentifierTypeStateIssuer
00182826MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000251 PA Practitioner - Emergency Medicine 2264564194 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Emergency Physicians Associates, Inc. Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Titusville Area Hospital Emergency Medicine CurrentSince Jun 5, 2024 Accepting new patients
Ahn Emergency Group of Clarion County LTD Emergency Medicine CurrentSince May 12, 2020 Accepting new patients
BHS Faster Care PLLC CurrentSince Dec 27, 2011 Accepting new patients
Titusville Area Hospital CurrentSince Jun 5, 2024 Accepting new patients
Titusville Area Hospital Current Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

1 Hospital Way
#D
Butler, PA 16001
Phone (724) 284-4550

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

21 Franklin Village Mall
Kittanning, PA 16201
Phone (724) 543-3278

147 Mulone Dr
Sarver, PA 16055
Phone (724) 295-0087

100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1447295605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "ERMI QUANTUM ONE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "ERMI QUANTUM ONE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541404",
            "country_code": "US",
            "telephone_number": "814-827-1851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZIKOWSKI",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD071934L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00182826",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.