David T Bizousky
Sports Medicine Orthopaedic Surgeon
120 Irmc Dr Suite160
Indiana
, Pennsylvania 15701-3674
David T Bizousky
Sports Medicine Orthopaedic Surgeon
120 Irmc Dr Suite160
Indiana
, Pennsylvania 15701-3674
(724) 349-1830
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- David T Bizousky
- 120 Irmc Dr Suite160
- Indiana, PA
- Zip : 15701-3674
- Fax : (724) 349-1830
- Phone : (724) 465-2676
Second Address
- David T Bizousky
- 120 Irmc Dr Suite160
- Indiana, PA
- Zip : 15701-3674
- Fax : (724) 349-1830
- Phone : (724) 465-2676
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Is David T Bizousky a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD034457E | PA |
National Provider Identifier
| NPI | 1235199910 |
|---|---|
| Provider Name | David T Bizousky |
| First Address | Indiana, PA 15701-3674 |
| Second Address | Indiana, PA 15701-3674 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2006 |
| Last Update Date | 25/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0014636240001 | (05) | PA |
| CI1160 | RAILROAD MEDICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.