THOMAS L. FAZIO M.D. NPI 1902800832

NPI Information

NPI: 1902800832
Provider Name: THOMAS L. FAZIO, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
500 MERRIMACK ST
RIVERWALK
LAWRENCE, MA
ZIP 01843
Phone: (978) 557-8700
Get Directions

Thomas L. Fazio, M.D. is a gastroenterology internal medicine in Lawrence, MA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Thomas L. Fazio, M.D. NPI is 1902800832. 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:

500 MERRIMACK ST
RIVERWALK
LAWRENCE, MA
ZIP 01843-756
Phone: (978) 557-8700
Fax: (978) 557-8867

The enumeration date for this NPI number is 6/9/2005 and was last updated on 10/29/2013.

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	207RG0100X	Internal Medicine	Gastroenterology	42754	MASSACHUSETTS	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	1902800832	OTHER	MASSACHUSETTS	AETNA HMO
2	0011277	OTHER		NEIGHBORHOOD HEALTH PLAN
3	042754	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	4035145	OTHER	MASSACHUSETTS	AETNA NON HMO
5	975010	OTHER		NETWORK HEALTH
6	A54061	OTHER	NEW HAMPSHIRE	ANTHEM BLUE CROSS
7	D11110	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
8	29-00569	OTHER		EVERCARE
9	30259	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH CA
10	100014711	OTHER		RAILROAD MEDICARE
11	678816	OTHER		HEALTHSOURCE
12	D11110	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
13	A54061	MEDICARE UPIN	MASSACHUSETTS
14	30201837	OTHER		NH MEDICAID
15	3925416	OTHER		CIGNA HEALTHCARE
16	1902800832	OTHER	MASSACHUSETTS	FALLON COMMUNITY HEALTH PLAN
17	2060949	MEDICAID	MASSACHUSETTS

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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