RONALD ANTHONY FAZIO PA NPI 1962738146

NPI Information

NPI: 1962738146
Provider Name: RONALD ANTHONY FAZIO, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610
Phone: (919) 231-6333
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Ronald Anthony Fazio, PA is a surgical physician assistant in Raleigh, NC with 31 years of experience. Ronald Anthony Fazio, PA NPI is 1962738146. 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:

3000 NEW BERN AVE
RALEIGH, NC
ZIP 27610-231
Phone: (919) 231-6333

The NPI 1962738146 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 10/23/2009 and was last updated on 2/23/2021.

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	363AS0400X	Physician Assistant	Surgical	1000406	NORTH CAROLINA	Yes
2	363A00000X	Physician Assistant		1000406	NORTH CAROLINA	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: 4/28/2024

NPI Synchronization or Removal

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