Provider Demographics
NPI:1235326174
Name:WARREN C RIZZO MD PC
Entity Type:Organization
Organization Name:WARREN C RIZZO MD PC
Other - Org Name:ADVANCED ARTHRITIS CARE AND RESEARCH
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-451-3222
Mailing Address - Street 1:10210 N 92ND ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4509
Mailing Address - Country:US
Mailing Address - Phone:480-451-3222
Mailing Address - Fax:480-451-3224
Practice Address - Street 1:10210 N 92ND ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4509
Practice Address - Country:US
Practice Address - Phone:480-451-3222
Practice Address - Fax:480-451-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1Z6190OtherHEALTHNET
AZAHCCCSOther563826
AZ7686072OtherAETNA
AZ3200086OtherUHC
AZ5403601OtherCCN
AZ563826Medicaid
AZAZ0726620OtherBLUE CROSS BLUE SHIELD
AZ1Z6190OtherHEALTHNET
AZ7686072OtherAETNA
AZ=========OtherWORKERS COMP