Active NPIIndividual provider

Michael R Disiena, DO

Surgery, Surgical Oncology in Pittsfield, Massachusetts

NPI Number1770572273
Practice location
777 North St, Suite 407, Pittsfield, MA 01201-4147
Fax
413-499-4907
Last updated
September 26, 2007

Michael Ross Disiena is a Surgery, Surgical Oncology based in Pittsfield, MA. Michael Ross Disiena practices in Pittsfield, MA and has the professional credentials of DO. The NPI Number for Michael Ross Disiena is 1770572273 and holds a License No. 155050 (MA). The current practice location address for Michael Ross Disiena is 777 North St, Suite 407, Pittsfield, MA 01201-4147 and can be reached out via phone at 413-445-6420 and via fax at 413-499-4907.

Provider Profile Details

NPI Number
1770572273
Provider Name
Michael Ross Disiena
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
777 North St, Suite 407, Pittsfield, MA 01201-4147
Phone Number
413-445-6420
Fax Number
413-499-4907
Primary Taxonomy
Surgery, Surgical Oncology · 2086X0206X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2005
Last Update Date
September 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
777 North St
Suite 407
Pittsfield, MA 01201-4147
Zip
01201-4147
Phone Number
413-445-6420
Fax Number
413-499-4907
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
777 North St
Po Box 1677
Pittsfield, MA 01202-1677
City
Pittsfield
State
MA
Zip
01202-1677
Phone Number
413-445-6420
Fax Number
413-499-4907

License Information

License Number
155050
License State
MA
Taxonomy
Surgery, Surgical Oncology · 2086X0206X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael R Disiena, DO?

The NPI number of Michael R Disiena, DO is 1770572273. It was assigned on October 18, 2005 and is currently active in the NPPES registry.

What is the specialty of Michael R Disiena, DO?

Michael R Disiena, DO is registered under the primary taxonomy Surgery, Surgical Oncology (code 2086X0206X), licensed in MA under license number 155050.

Where does Michael R Disiena, DO practice?

The practice location is 777 North St, Suite 407, Pittsfield, MA 01201-4147. The office can be reached at 413-445-6420 (phone) or 413-499-4907 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770572273 directly on the NPPES registry website.

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