DOMENIC PISANO DO NPI 1669446159

NPI Information

  • NPI: 1669446159
  • Provider Name: DOMENIC PISANO, DO
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 196 W SPROUL RD
    SUITE 106
    SPRINGFIELD, PA
    ZIP 19064
  • Phone: (610) 543-4000

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NPI Details

Domenic Pisano, DO is a cardiovascular disease internal medicine in Springfield, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Domenic Pisano, DO NPI is 1669446159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

196 W SPROUL RD
SUITE 106
SPRINGFIELD, PA
ZIP 19064-045
Phone: (610) 543-4000
Fax: (610) 543-4003

The enumeration date for this NPI number is 2/14/2006 and was last updated on 8/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseOS002998LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000751895MEDICAIDPENNSYLVANIA
2074342GT6MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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