Individual provider Active NPI

Norihito Onishi, D.O.

  • Family Medicine Physician
  • Mount Morris, PA
National Provider Identifier
1972575454
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05015849 Issued in PA
Practice address
186 Locust Ave
Mt Morris, PA 15349
Phone
(888) 262-0021
Fax
(724) 324-5436
NPI assigned
Feb 7, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1822 WV
Family Medicine Physician 207Q00000X 05015849 PA Primary

Addresses

Primary practice location

186 Locust Ave
Mt Morris, PA 15349

Mailing address

PO. Box 378
Mt Morris, PA 15349
Phone (888) 262-0021

Other identifiers 4

IdentifierTypeStateIssuer
3004546000MedicaidWV
001720362OtherWVMS BCBS
P00264136OtherWVRR MEDICARE
7930526OtherWVAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 26, 2014 through Aug 26, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1822WVMDCounselor
05015849PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baymark Health Services of West Virginia, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1972575454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO. BOX 378",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "888-262-0021",
            "fax_number": "724-324-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 LOCUST AVE",
            "city": "MT MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "888-262-0021",
            "fax_number": "724-324-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISHI",
        "first_name": "NORIHITO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1822",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05015849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3004546000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001720362",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00264136",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7930526",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, PA

Sources for this page

Verify at the official NPI Registry.