Paul J Sisbarro, DO

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0S005165L Issued in PA

Practice address

175 Martin Ave Ste 350
Ephrata, PA 17522-1763

Phone

(717) 738-5632

Fax

(717) 738-6535

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Integrated Group Practice Pennsylvania, P.C.

  • Urology Physician
  • Wexford, PA
  • NPI 1871898833
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1750347092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-738-5632",
            "fax_number": "717-738-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARTIN AVE STE 350",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221763",
            "telephone_number": "717-738-5632",
            "fax_number": "717-738-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 North Pointe Blvd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014134",
            "country_code": "US",
            "telephone_number": "717-735-1919",
            "fax_number": "717-735-1927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2930 Carol Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024159",
            "country_code": "US",
            "telephone_number": "717-718-8010",
            "fax_number": "717-718-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISBARRO",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "AS2305236",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "0S005165L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001124432",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene Edward Shuman Jr., PA-C
• Jessica Sickels, LMT
• Corina Angela Silaghi, CRNP
• Sincere Home Helpers LLC
• Kevin Sisbarro
• SJ Kobers
• Ashton Smith, OTR/L
• Eric A Smith
• Jennifer Dale Smith, LMT
• Jason B Snavely, MD

• Urology Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.