DR. GREGORY J FENZL D.O. NPI 1093787004

NPI Information

NPI: 1093787004
Provider Name: DR. GREGORY J FENZL, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
19829 N 27TH AVE
PHOENIX, AZ
ZIP 85027
Phone: (623) 879-5720
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DR. Gregory J Fenzl, D.O. is a diagnostic radiology radiology in Phoenix, AZ. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Gregory J Fenzl, D.O. NPI is 1093787004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19829 N 27TH AVE
PHOENIX, AZ
ZIP 85027-001
Phone: (623) 879-5720

The NPI 1093787004 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 2/3/2006 and was last updated on 8/9/2017.

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	2085R0202X	Radiology	Diagnostic Radiology	4043	ARIZONA	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	Z79425	MEDICARE PIN	ARIZONA
2	1Z7086	OTHER	ARIZONA	HEALTH NET OF ARIZONA
3	H77152	MEDICARE UPIN
4	857568	MEDICAID	ARIZONA
5	Z79427	MEDICARE PIN	ARIZONA
6	AZ0221810	OTHER	ARIZONA	BCBSAZ
7	Z25034	MEDICARE PIN	ARIZONA
8	Z79423	MEDICARE PIN	ARIZONA
9	Z121154	MEDICARE PIN	ARIZONA
10	Z121422	MEDICARE UPIN	ARIZONA
11	P00138635	MEDICARE PIN	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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