Norihito Onishi, D.O.
Individual provider Active NPI Family Medicine Physician · Mt Morris, PA
NPI 1972575454 · NPPES record last updated Jul 2, 2014
Key facts
- NPI
- 1972575454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 05015849 (PA)
- Practice address
- 186 Locust Ave
Mt Morris, PA 15349 - Phone
- (888) 262-0021
- Fax
- (724) 324-5436
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 26, 2014 through Aug 26, 2026
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1822 | WV | MD | Counselor |
| 05015849 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baymark Health Services of West Virginia, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1822 | WV | |
| Family Medicine Physician | 207Q00000X | 05015849 | PA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00264136 | Other | WV | RR MEDICARE |
| 3004546000 | Medicaid | WV | |
| 7930526 | Other | WV | AETNA |
| 001720362 | Other | WV | MS BCBS |
Other providers in Mt Morris, PA
- Mount Morris EMS
- Michael Thomas Mueller
- Jeffrey Mark Ndove
- Joy Dale Nugent
- Haya Obaji
- Trisha Mary Petitte
- Carolyn J Poe
- Bonnie L Popso
- Primary Care Center of Mount Morris
- Primary Care Center of Mt Morris
All providers in Mt Morris, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.