1255371191 NPI number — FRANK E RIZZO DO

Table of content: FRANK E RIZZO DO (NPI 1255371191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255371191 NPI number — FRANK E RIZZO DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIZZO
Provider First Name:
FRANK
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255371191
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 606
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANGHORNE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19047-0606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-785-0145
Provider Business Mailing Address Fax Number:
215-785-0161

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 N OXFORD VALLEY RD
Provider Second Line Business Practice Location Address:
SUITE 510
Provider Business Practice Location Address City Name:
FAIRLESS HILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19030-2624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-785-0145
Provider Business Practice Location Address Fax Number:
215-785-0161
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207LP2900X , with the licence number:  OS004623L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207LP2900X , with the licence number: 25MB05527800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 20051604 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "QUALCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 23-2919275 . This is a "FIRST MCO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 23-2919275 . This is a "PROCURA MANAGEMENT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 33028D . This is a "HORIZON MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1208585 . This is a "AETNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 20018769 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "PROCURA MANAGEMENT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 33028D . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "UNITED HEALTHCARE/OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 23-2919275 . This is a "QUALCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 148332 . This is a "PA BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "DEVON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "HEALTH AMERICA/HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-1994560 . This is a "HORIZON BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 23-2919275 . This is a "FIRST MCO" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: DB0435 . This is a "RAILROAD MEDICARE (GROUP)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 23-2919275 . This is a "UNITED HEALTHCARE/OXFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2551643 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 6686806 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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