1699750638 NPI number — FERNANDO E ARIZA MD

Table of content: FERNANDO E ARIZA MD (NPI 1699750638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699750638 NPI number — FERNANDO E ARIZA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARIZA
Provider First Name:
FERNANDO
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1699750638
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 26101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINSTON SALEM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27114-6101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-245-9519
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PO BOX 26101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27114-6101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-245-9519
Provider Business Practice Location Address Fax Number:
336-397-3759
Provider Enumeration Date:
12/13/2005

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: 207R00000X , with the licence number:  2001-01309 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RN0300X , with the licence number: 2001-01309 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 132JP . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7069617 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 89132JP , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10086469 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: D8311 . This is a "MEDCOST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3810001642 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47794 . This is a "PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: N01309 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com