Disa Global Solutions, Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

DISA GLOBAL SOLUTIONS, INC

Practice address

2605 Reach Rd
Williamsport, PA 17701-4392

Phone

(570) 327-8790

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Mark Breaux

Title

Director, Medical Support

Phone

(281) 813-9336

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1497574875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 KATY FWY FL 9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791253",
            "telephone_number": "281-673-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 REACH RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014392",
            "telephone_number": "570-327-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISA GLOBAL SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "BREAUX",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL SUPPORT",
        "authorized_official_telephone_number": "281-813-9336"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digital Hearing Aid Systems, Inc
• Pamela Z Dill, CRNP
• Nicholas J Dillman, MD
• Emily Grace Dincher, CCC-SLP
• Gary Michael Dincher, D.P.M.
• Ronald Enrico Disimone, M.D.
• Divine Providence Hospital of the Sisters of Christian Charity
• Divine Providence Hospital of the Sisters of Christian Charity
• Divine Providence Hospital of the Sisters of Christian Charity
• Divine Providence Hospital of the Sisters of Christian Charity

• Occupational Medicine Clinic/Center in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Occupational Medicine Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.