COREY RICHARD FAZIO (NPI# 1285832279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285832279 |
| Entity Type | Individual |
| Full Name | COREY RICHARD FAZIO |
| Credential | DO |
| Practice Address |
1076 W Mcpherson Hwy Clyde OH 43410-1133 |
| Mailing Address |
1400 W Main St Building 1 Suite A Bellevue OH 44811-9088 |
| Practice Telephone | 4195470216 |
| Practice Fax Number | 4195479130 |
| Mailing Telephone | 4194832494 |
| Mailing Fax Number | 4194833224 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2008-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34009034 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2765315 | 05 |
| Street Address |
1076 W MCPHERSON HWY |
| City | CLYDE |
| State | OH |
| Zip Code | 43410-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487865234 | Marc Anthony Naderer | Family Medicine | 1076 W Mcpherson Hwy, Clyde, OH 43410-1002 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992136279 | North Coast Professional Company, LLC | Clinic/Center | 1470 West Mcpherson Highway, Clyde, OH 43410 | 2013-12-11 |
| 1346461175 | Rebecca Ann Liskai | Physical Therapy Assistant | 700 Helen Street, Clyde, OH 43410 | 2007-05-01 |
| 1043330871 | Dreffer, Hicks, & Demos O.d. Inc. | Optometrist | 1074 West Mcpherson Highway, Clyde, OH 43410 | 2007-03-29 |
| 1245339852 | David E Mileski | Physical Therapist | 119 Birdseye St, Clyde, OH 43410 | 2006-09-21 |
| 1750497632 | Paul Daniel Reed | Chiropractor | 408 and One Half E Maple St, Reed Chiropractic LLC, Clyde, OH 43410 | 2006-08-22 |
| 1740203017 | Raymond M Colavincenzo | Dentist | 243 West Maple Street, Clyde, OH 43410 | 2006-07-26 |
| 1710404652 | Tiffany C. Lancaster | Nurse Practitioner | 300 W. 10th Avenue, Columbus, OH 43410 | 2017-08-22 |
| 1548550841 | Scott Robert Sendelbach | Pharmacist | 710 North Main St, Clyde, OH 43410 | 2011-04-08 |
| 1073728135 | Victoria Ann Holmes | Occupational Therapy Assistant | 700 Helen St, Clyde, OH 43410 | 2007-05-11 |
| 1114321866 | Maria Apling | Nurse Practitioner | 112 Independence Way, Suite 150, Clyde, OH 43410-0123 | 2014-10-09 |
| Find all providers in zip 43410 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548443435 | Western Carolina Physician Network | Obstetrics & Gynecology | 35 Facillity Dr., Clyde, NC 28721-0279 | 2007-12-13 |
| 1982728804 | John Paul Keyser | Obstetrics & Gynecology | 4950 Atkins Rd, Clyde, MI 48049-4506 | 2007-03-17 |
| 1912908971 | Robin Dempsey Matthews | Obstetrics & Gynecology | 35 Facility Dr, Clyde, NC 28721-9438 | 2005-08-02 |
| 1184939910 | Memorial Hospital | Obstetrics & Gynecology | 455 W Mcpherson Hwy, Suite B, Clyde, OH 43410-1132 | 2010-08-17 |
| 1750514691 | Western Carolina Physician Network, Inc. | Obstetrics & Gynecology | 35 Facility Dr, Clyde, NC 28721-9438 | 2009-08-26 |
| 1710043369 | Terri Linn Cranfield | Obstetrics & Gynecology | 35 Facility Dr, Clyde, NC 28721-9438 | 2006-12-28 |
| 1578549192 | Haywood Women's Medical Center, Pa | Obstetrics & Gynecology | 35 Facility Dr, Clyde, NC 28721-9438 | 2005-12-15 |
| 1396746350 | Christopher H Lane | Obstetrics & Gynecology | 35 Facility Dr, Clyde, NC 28721-9438 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1366086761 | Women's Integrative Medicine Obgyn LLC | Obstetrics & Gynecology | 477 Cooper Rd Ste 320, Westerville, OH 43081-6045 | 2019-10-30 |
| 1700437266 | Obstetrics and Gynecology South, Inc | Obstetrics & Gynecology | 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 | 2019-09-26 |
| 1407414386 | Ronald James Thompson Md | Obstetrics & Gynecology | 2200 Victory Pkwy Apt 1602, Cincinnati, OH 45206-2824 | 2019-06-05 |
| 1043876394 | Rachel K Booth | Obstetrics & Gynecology | 128 E Apple St Ste 3800d, Dayton, OH 45409-2902 | 2019-05-13 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1992204432 | Catherine Nowak | Obstetrics & Gynecology | 1611 S Green Rd Ste 238, South Euclid, OH 44121-4123 | 2018-02-11 |
| 1649786963 | Columbus Obstetric and Gynecology Center | Obstetrics & Gynecology | 340 E Town St Ste 8900, Columbus, OH 43215-4646 | 2017-12-22 |
| 1538673090 | Healthy Beginnings Inc | Obstetrics & Gynecology | 1230 W Kemper Rd, Cincinnati, OH 45240-1618 | 2017-11-20 |
| 1568989762 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1220 E Elm St Ste 204, Lima, OH 45804-2898 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.