Active NPI
Shishir C Prasad, MD FACS
- Surgery Physician
- Pittston, PA
National Provider Identifier
1497742423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD033494L
- Practice address
- 14 Carey LN
Pittston, PA 18640-3224 - Phone
- (570) 654-2550
- NPI assigned
- Oct 4, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD033494L | PA | Primary |
Addresses
Primary practice location
14 Carey LN
Pittston, PA 18640-3224
Mailing address
14 Carey LN
Pittston, PA 18640-3224
Phone (570) 654-2550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006086470005 | Medicaid | PA |
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": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1497742423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CAREY LN",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403224",
"telephone_number": "570-654-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CAREY LN",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186403224",
"telephone_number": "570-654-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "SHISHIR",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD033494L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006086470005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.