MRS. ELISA MIRANDA SISON IRISARI MD NPI 1770668816

NPI Information

  • NPI: 1770668816
  • Provider Name: MRS. ELISA MIRANDA SISON IRISARI, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 119 JEFFERSON AVE
    MOUNDSVILLE, WV
    ZIP 26041
  • Phone: (304) 845-8555

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NPI Details

MRS. Elisa Miranda Sison Irisari, MD is an obstetrics gynecology in Moundsville, WV. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MRS. Elisa Miranda Sison Irisari, MD NPI is 1770668816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

119 JEFFERSON AVE
MOUNDSVILLE, WV
ZIP 26041-410
Phone: (304) 845-8555
Fax: (304) 843-1008

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/28/2016.

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
1207V00000XObstetrics & Gynecology0108761OHIONo
2207V00000XObstetrics & Gynecology11087WEST VIRGINIAYes

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
10534002MEDICARE PINWEST VIRGINIA
20094259000MEDICAIDWEST VIRGINIA

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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