Organization Active NPI

Women'S Health Services of Roaring Spring

  • Gynecology Physician
  • Roaring Spring, PA
National Provider Identifier
1972296580
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WOMEN'S HEALTH SERVICES OF ROARING SPRING
Practice address
878 Pine Heights St
Roaring Spring, PA 16673-2105
Phone
(814) 710-8140
Fax
(814) 224-2397
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Dr. Stephen John Bisacco, MDNPI 1861479164
Title
Owner/Provider
Phone
(814) 710-8140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

878 Pine Heights St
Roaring Spring, PA 16673-2105

Mailing address

878 Pine Heights St
Roaring Spring, PA 16673-2105
Phone (814) 710-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230821001388 PA Part B Supplier - Clinic/Group Practice 0648632828 Receives reassigned benefits from 3 practitioners
Practice locations: Roaring Spring, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2285443Womens HLTH Services of Roaring Spring878 Pine Heights Street, Roaring Spring, PA 16673Provider-performed microscopyJul 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1972296580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 PINE HEIGHTS ST",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166732105",
            "telephone_number": "814-710-8140",
            "fax_number": "814-224-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 PINE HEIGHTS ST",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166732105",
            "telephone_number": "814-710-8140",
            "fax_number": "814-224-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH SERVICES OF ROARING SPRING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "BISACCO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "814-710-8140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roaring Spring, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.