Active NPI
Norihito Onishi, D.O.
- Family Medicine Physician
- Mount Morris, PA
National Provider Identifier
1972575454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 05015849
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004546000 | Medicaid | WV | |
| 001720362 | Other | WV | MS BCBS |
| P00264136 | Other | WV | RR MEDICARE |
| 7930526 | Other | WV | AETNA |
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
- 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
| 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 |
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.
-
dba MedMark Treatment Centers Morgantown
- Substance Use Disorder Rehabilitation Clinic/Center
- Morgantown, WV
- NPI 1174062731
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.