MARY ELLEN PIZZA MD NPI 1205829264

NPI Information

NPI: 1205829264
Provider Name: MARY ELLEN PIZZA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2121 HUGHES DR
SUITE 300
TOLEDO, OH
ZIP 43606
Phone: (419) 291-2121
Get Directions

Mary Ellen Pizza, MD is a pediatrics in Toledo, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Ellen Pizza, MD NPI is 1205829264. 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:

2121 HUGHES DR
SUITE 300
TOLEDO, OH
ZIP 43606-845
Phone: (419) 291-2121
Fax: (419) 479-6017

The NPI 1205829264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 7/8/2007.

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
1	208000000X	Pediatrics		35067177	OHIO	Yes

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
1	0105559	MEDICAID	OHIO
2	PI0769812	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	4519541	OTHER	MICHIGAN	AETNA
4	000000270707	OTHER	MICHIGAN	ANTHEM
5	12-01242	OTHER	OHIO	UHC
6	3505802311	OTHER	MICHIGAN	BCBS MI
7	000000141209	OTHER	OHIO	ANTHEM
8	12-03671	OTHER	MICHIGAN	UHC
9	0105559	OTHER	OHIO	BCMH
10	10725	OTHER	OHIO	HPM
11	01873	OTHER	OHIO	PHC
12	063626	OTHER	OHIO	AETNA
13	F89184	MEDICARE UPIN	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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