DR. MICHAEL GREGORY FAZIO D.O. NPI 1811123433

NPI Information

NPI: 1811123433
Provider Name: DR. MICHAEL GREGORY FAZIO, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRUMAN MEDICAL CENTER INCORPORATED

PECOS Registration: Yes

Address:
5950 UNIVERSITY AVE STE 145
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 244-5109
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DR. Michael Gregory Fazio, D.O. is a diagnostic radiology radiology in West Des Moines, IA with 15 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Gregory Fazio, D.O. NPI is 1811123433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2009

The provider's business location address is:

5950 UNIVERSITY AVE STE 145
WEST DES MOINES, IA
ZIP 50266-233
Phone: (515) 244-5109

The NPI 1811123433 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 6/10/2009 and was last updated on 6/29/2021.

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	DO-04872	IOWA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	64809	GEORGIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	2020012800	MISSOURI	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No

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: 11/14/2023

NPI Synchronization or Removal

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