Jose Enrique Misas, M.D.

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

License

MD023275E Issued in PA

Practice address

4310 Londonderry Rd
Suite 100
Harrisburg, PA 17109-5300

Phone

(717) 221-5940

Fax

(717) 233-2821

NPI assigned

Nov 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Women'S Cancer Center of Central PA, P.C.

  • Gynecologic Oncology Physician
  • Harrisburg, PA
  • NPI 1093774929
  NPD (past) Authorized official
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Geriatric Medicine (Internal Medicine) Physician
  • Harrisburg, PA
  • NPI 1700195294
  NPD

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1700867686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2494 BERNVILLE RD",
            "address_2": "STE G02",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095300",
            "telephone_number": "717-221-5940",
            "fax_number": "717-233-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISAS",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD023275E",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD023275E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008072840008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cayleigh M Minter, CRNP
• Miracle Group Inc
• Jaclyn Mirault, MD
• Mirror Home Care LLC
• Hajira Iftikheu Mirza, MD
• Irina Vladimirovna Mishagina, M.D.
• Gautam Mishra, MD
• Kevin Misner, MD
• Clare Missimer
• Mission Health, LLC

• Gynecologic Oncology Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Gynecologic Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.