Individual provider Active NPI

Darrell SCS Misak, N.D., RPH

  • Naturopath
  • Mt Lebanon, PA
National Provider Identifier
1578727145
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1080 Issued in OR
Practice address
20 Cedar Blvd
Suite 303
Mt Lebanon, PA 15228-1330
Phone
(412) 563-1600
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1080 OR Primary

Addresses

Primary practice location

20 Cedar Blvd
Suite 303
Mt Lebanon, PA 15228-1330

Mailing address

20 Cedar Blvd
Suite 303
Mt Lebanon, PA 15228-1330
Phone (412) 563-1600

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)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1578727145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD",
            "address_2": "SUITE 303",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "412-563-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR BLVD",
            "address_2": "SUITE 303",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281330",
            "telephone_number": "412-563-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAK",
        "first_name": "DARRELL",
        "middle_name": "SCS",
        "name_prefix": "Dr.",
        "credential": "N.D., RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.