Active NPI
Joseph L. Bizek, MD
- Surgery Physician
- Aurora, MO
National Provider Identifier
1710028311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R6113
- Practice address
- 500 Porter Ave
Aurora, MO 65605-2365 - Phone
- (417) 678-2122
- Fax
- (417) 678-7877
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- No
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 | R6113 | MO | Primary |
Addresses
Primary practice location
500 Porter Ave
Aurora, MO 65605-2365
Mailing address
500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-2122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207519208 | Medicaid | MO | |
| 83752 | Other | MO | AR BLUE SHIELD # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6113 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Springfield | Past | Accepting new patients | |
| Mercy Clinic Springfield Communities | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Medicare Defined Swing Bed Hospital Unit
- Springfield, MO
- NPI 1053907113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216684800000",
"number": "1710028311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PORTER AVE",
"city": "AURORA",
"state": "MO",
"postal_code": "656052365",
"telephone_number": "417-678-2122",
"fax_number": "417-678-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PORTER AVE",
"city": "AURORA",
"state": "MO",
"postal_code": "656052365",
"telephone_number": "417-678-2122",
"fax_number": "417-678-7877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIZEK",
"first_name": "JOSEPH",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2008-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "R6113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207519208",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BLUE SHIELD #",
"identifier": "83752",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.