Macisaac Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MACISAAC FAMILY MEDICINE

Practice address

125 Warrendale Bayne Rd
Suite 200
Warrendale, PA 15086-7570

Phone

(724) 940-9191

Fax

(724) 940-9195

NPI assigned

Jul 22, 2006

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David B Macisaac, DONPI 1437181336

Title

Physican

Phone

(724) 940-9190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David B Macisaac, DO

  • Family Medicine Physician
  • Wexford, PA
  • NPI 1437181336
  Medicare reassignment NPD Authorized official
• Jessica Leigh Bergstrom, PA-C

  • Physician Assistant
  • Media, PA
  • NPI 1497290282
  Medicare reassignment
• Hailey Mairead Noll, PA

  • Physician Assistant
  • Wexford, PA
  • NPI 1427702323
  Medicare reassignment
• Mackenzie Nicole Reed, PA-C

  • Physician Assistant
  • Wexford, PA
  • NPI 1275373664
  Medicare reassignment
• Lindsey Jo Cioci, PA-C

  • Physician Assistant
  • Manchester, NH
  • NPI 1417281593

  PA

  Medicare reassignment
• Milton Randall Dalbow, M.D.

  • Hospitalist Physician
  • High Point, NC
  • NPI 1972561314
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1881615003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CORPORATE DR STE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907609",
            "telephone_number": "724-940-9190",
            "fax_number": "724-940-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WARRENDALE BAYNE RD",
            "address_2": "SUITE 200",
            "city": "WARRENDALE",
            "state": "PA",
            "postal_code": "150867570",
            "telephone_number": "724-940-9191",
            "fax_number": "724-940-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACISAAC FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MACISAAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "724-940-9190",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeline Centers, PC
• Lifeline Therapy Warrendale, LLC (Lifeline Therapy Warrendale)
• Karen Longo, RPH
• Megan Lord-Deriggi, CRNP
• Ashley Lynn-Marie Lovell, LCSW
• Giacinto Jason Mantella, PHARMD
• Kim D. Marzula, R.PH.
• Zachary David Mauro, LSW
• Kristen McLaren Treu, L.P.C., M.A.
• Beth Ann Michel, RPH

• Family Medicine Physician in Warrendale, PA
• Providers in Warrendale, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.