THOMAS L. FAZIO (NPI# 1902800832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902800832 |
| Entity Type | Individual |
| Full Name | THOMAS L. FAZIO |
| Credential | M.D. |
| Practice Address |
500 Merrimack St Riverwalk Lawrence MA 01843-1756 |
| Practice Telephone | 9785578700 |
| Practice Fax Number | 9785578867 |
| Mailing Telephone | 9785578700 |
| Mailing Fax Number | 9785578867 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
42754 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA NON HMO | 4035145 | 01 |
| RAILROAD MEDICARE | 100014711 | 01 | |
| MA | HARVARD PILGRIM HEALTH CA | 30259 | 01 |
| NETWORK HEALTH | 975010 | 01 | |
| MA | FALLON COMMUNITY HEALTH PLAN | 1902800832 | 01 |
| MA | 2060949 | 05 | |
| NEIGHBORHOOD HEALTH PLAN | 0011277 | 01 | |
| MA | AETNA HMO | 1902800832 | 01 |
| EVERCARE | 29-00569 | 01 | |
| NH MEDICAID | 30201837 | 01 | |
| HEALTHSOURCE | 678816 | 01 | |
| MA | BLUE CROSS BLUE SHIELD | D11110 | 01 |
| CIGNA HEALTHCARE | 3925416 | 01 | |
| MA | TUFTS HEALTH PLAN | 042754 | 01 |
| NH | ANTHEM BLUE CROSS | A54061 | 01 |
| Street Address |
500 MERRIMACK ST RIVERWALK |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103298 | Bruce E. Birkby | Allergy & Immunology | 500 Merrimack St, Riverwalk, Lawrence, MA 01843-1756 | 2005-06-02 |
| 1881126043 | Eileen Bernau | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2017-03-28 |
| 1477091577 | Rozalia Marta Perroni | Registered Nurse | 500 Merrimack St, Lawrence, MA 01843-1981 | 2017-02-08 |
| 1548704828 | Maria Dalomba | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2016-12-06 |
| 1639623895 | Shannon Arciero | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2016-08-05 |
| 1730568866 | Rohit Dixit | Internal Medicine | 500 Merrimack St, Lawrence, MA 01843-1756 | 2015-05-21 |
| 1356746556 | Jennifer Dailey | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2014-10-30 |
| 1326442906 | Tiffany Clapp | Nurse Practitioner | 500 Merrimack St, Lawrence, MA 01843-1756 | 2014-10-10 |
| 1801205752 | Kruti Parikh | Internal Medicine | 500 Merrimack St, Lawrence, MA 01843-1981 | 2014-08-05 |
| 1841614104 | Diane Elizabeth Hazel | Registered Nurse | 500 Merrimack St, Lawrence, MA 01843-1981 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303683 | Steven Leonard Kadish | Internal Medicine | 141 Washington Ave, Suite 204, Lawrence, NY 11559-1669 | 2005-11-18 |
| 1982601381 | Teresa Moeller King | Internal Medicine | 330 Arkansas St Ste 215, Lawrence, KS 66044 | 2005-06-30 |
| 1528412319 | Charles Oliner Md Pllc | Internal Medicine | 195 Central Ave, Lawrence, NY 11559-1409 | 2016-04-18 |
| 1043628282 | South Island Gastroenterology Associates PC | Internal Medicine | 141 Washington Ave, Lawrence, NY 11559-1669 | 2014-07-31 |
| 1952718173 | Lawrence Physicians LLC | Internal Medicine | 330 Arkansas St, Suite 215, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1003188764 | Yitzhak D. Twersky M.d., P.C. | Internal Medicine | 290 Central Ave, Suite 204, Lawrence, NY 11559-8507 | 2012-01-27 |
| 1659663003 | Richard Sawyer, Inc. | Internal Medicine | 50 Prospect St, Lawrence, MA 01841-2841 | 2011-05-04 |
| 1366772832 | Lawrence Memorial Hospital | Internal Medicine | 346 Maine St, Lawrence, KS 66044-1393 | 2010-01-06 |
| 1952590663 | Richard F. Sawyer, Jr, Md, PC | Internal Medicine | 25 Marston St, Lawrence, MA 01841-2310 | 2007-10-18 |
| 1669673265 | Kingswood Medical | Internal Medicine | 290 Central Ave, Suite 204, Lawrence, NY 11559-8507 | 2007-05-30 |
| Find all providers in LAWRENCE | ||||
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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.