Provider Type Icon

ERICA BERNADETTE FAZZINI PA-C NPI 1740827377


NPI Information

NPI: 1740827377
Provider Name: ERICA BERNADETTE FAZZINI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225
Phone: (503) 906-4302
Get Directions

Erica Bernadette Fazzini, PA-C is a surgical physician assistant in Portland, OR with 5 years of experience. Erica Bernadette Fazzini, PA-C NPI is 1740827377. 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:

11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225-933
Phone: (503) 906-4302
Fax: (503) 906-6613

The NPI 1740827377 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 12/2/2019 and was last updated on 5/23/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA196871OREGONYes
2363A00000XPhysician Assistant196871OREGONNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA196871OTHEROREGONPA LICENSE NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.