Provider Demographics
NPI:1093031585
Name:RIZZA, PAMELA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JANE
Last Name:RIZZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:JANE
Other - Last Name:BIRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:820 RAVENHILL DR
Mailing Address - Street 2:ATCHISON HOSPITAL ASSOCIATION DBA ADVANCED HEALTH SERVI
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-9268
Mailing Address - Country:US
Mailing Address - Phone:913-360-5829
Mailing Address - Fax:913-674-2040
Practice Address - Street 1:810 RAVENHILL DRIVE
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002
Practice Address - Country:US
Practice Address - Phone:913-360-5829
Practice Address - Fax:913-674-2040
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0437177207Q00000X
KS04-37177207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine