Active NPI
Paul M Izes, DO
- Family Medicine Physician
- Southampton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006987L
- Practice address
- 720 2ND Street Pike
Suite 105
Southampton, PA 18966-5902 - Phone
- (215) 322-5575
- NPI assigned
- Sep 27, 2006
- Last updated
- Nov 24, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006987L | PA | Primary |
Addresses
Primary practice location
720 2ND Street Pike
Suite 105
Southampton, PA 18966-5902
Mailing address
720 2ND Street Pike
Suite 105
Southampton, PA 18966-5902
Phone (215) 322-5575
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
720 2ND St Pike
Suite 105
Southampton, PA 18966-5902
Phone (215) 322-5575
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- paul.izes@paulmizesdo.chartmakerdirect.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Southampton, PA
- NPI 1184782328
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Redeemer Hospital & Medical Center
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1871684944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 2ND STREET PIKE",
"address_2": "SUITE 105",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189665902",
"telephone_number": "215-322-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 2ND STREET PIKE",
"address_2": "SUITE 105",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189665902",
"telephone_number": "215-322-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZES",
"first_name": "PAUL",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006987L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Tamara Lynn Jakubowski, C.P.N.P.
- Paula Jameson, APRN, BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.