NPIMap

Individual provider Active NPI

Joseph Zawisza, DO

  • Internal Medicine Physician
  • Schuylkill Haven, PA
National Provider Identifier
1942468210
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS014351 Issued in PA
Practice address
523 S Garfield Ave
Schuylkill Haven, PA 17972-1107
Phone
(570) 385-3826
Fax
(570) 385-4125
NPI assigned
May 23, 2008
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT 011110 PA
Internal Medicine Physician 207R00000X OS014351 PA Primary
Pediatrics Physician 208000000X OT 011110 PA
Pediatrics Physician 208000000X OS014351 PA

Addresses

Primary practice location

523 S Garfield Ave
Schuylkill Haven, PA 17972-1107

Mailing address

523 S Garfield Ave
Schuylkill Haven, PA 17972-1107
Phone (570) 385-3826

Other practice location 1

211 W Market St
Orwigsburg, PA 17961-1868
Phone (570) 366-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000427 PA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1951452762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

211 W Market St
Orwigsburg, PA 17961-1868
Phone (570) 366-1171

523 S Garfield Ave
Schuylkill Haven, PA 17972-1107
Phone (570) 385-3826

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.35 of 100Reported as individual
Quality
60.12
Improvement activities
40
Cost
84.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS014351PAMDInternal Medicine Physician
OT 011110PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Zawisza, DO, PC CurrentSince Apr 1, 2012 Accepting new patients
Geisinger Clinic Selinsgrove Past Accepting new patients

Locations

31 Valley St
New Philadelphia, PA 17959
Phone (570) 277-6556

523 S Garfield Ave
Schuylkill Haven, PA 17972
Phone (570) 385-3826

Interoperability endpoints

  • Direct secure messaging: jmzawisza@michaeljzawiszadopc.medentdirect.com

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.

Hospital & facility affiliations 40

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1942468210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S GARFIELD AVE",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721107",
            "telephone_number": "570-385-3826",
            "fax_number": "570-385-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S GARFIELD AVE",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721107",
            "telephone_number": "570-385-3826",
            "fax_number": "570-385-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W Market St",
            "address_purpose": "LOCATION",
            "city": "Orwigsburg",
            "state": "PA",
            "postal_code": "179611868",
            "country_code": "US",
            "telephone_number": "570-366-1171",
            "fax_number": "570-385-4125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAWISZA",
        "first_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT 011110",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014351",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT 011110",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS014351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schuylkill Haven, PA

Sources for this page

Verify at the official NPI Registry.