Individual provider Active NPI

Lina Marie Sizer, D.O

  • Surgery Physician
  • Bryn Mawr, PA
National Provider Identifier
1457645228
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS016923 Issued in PA
Practice address
101 S Bryn Mawr Ave Ste 201
Bryn Mawr, PA 19010-3123
Phone
(610) 520-0700
Fax
(610) 520-0744
NPI assigned
Jun 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS016923 PA Primary

Addresses

Primary practice location

101 S Bryn Mawr Ave Ste 201
Bryn Mawr, PA 19010-3123

Mailing address

101 S Bryn Mawr Ave Ste 201
Bryn Mawr, PA 19010-3123
Phone (610) 520-0700

Other names 1

  • Lina Marie Rico Former name

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
I20180607001142 PA Practitioner - General Surgery 2365707601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

101 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3120
Phone (484) 337-8767

1068 W Baltimore Pike
Media, PA 19063-5104
Phone (610) 566-9400

1098 W Baltimore Pike
Media, PA 19063-5139

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121

130 S Bryn Mawr Ave H
321 GVH Hospital Medical Services Bryn
Bryn Mawr, PA 19010-3121
Phone (484) 337-4097

830 Old Lancaster Rd
Bryn Mawr, PA 19010-3118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy78
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Surgery CurrentSince Jul 1, 2018 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

101 S Bryn Mawr Ave
Ste 201
Bryn Mawr, PA 19010
Phone (610) 451-4262

1098 W Baltimore Pike
Ste 3402
Media, PA 19063
Phone (610) 565-3250

255 W Lancaster Ave
Ste 331
Paoli, PA 19301
Phone (484) 527-2232

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1457645228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE STE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103123",
            "telephone_number": "610-520-0700",
            "fax_number": "610-520-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BRYN MAWR AVE STE 201",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103123",
            "telephone_number": "610-520-0700",
            "fax_number": "610-520-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIZER",
        "first_name": "LINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS016923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "RICO",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.