Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Thomas Cannizzaro, DO

Individual provider Emergency Medicine Physician · NPI 1417585241

Michael Thomas Cannizzaro, DO is an Emergency Medicine in Hazleton, Pennsylvania. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2020, 6 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
PA
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

700 E Broad St
Hazleton, PA 18201-6835
Phone: (570) 501-4193
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 University Dr, Hershey, PA 17033-2360 — (800) 243-1455

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS022762 (PA)

Record details

NPI number1417585241
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address500 University Dr, Hershey, PA 17033-2360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2020 (6 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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