Provider Demographics
NPI:1245216365
Name:PIZZINO, JOANNE LOUISE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:LOUISE
Last Name:PIZZINO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 OAK KNOB CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-9144
Mailing Address - Country:US
Mailing Address - Phone:984-664-1134
Mailing Address - Fax:558-778-2799
Practice Address - Street 1:964 HIGH HOUSE RD # 4102
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3574
Practice Address - Country:US
Practice Address - Phone:984-664-1134
Practice Address - Fax:855-778-2799
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36582207QA0505X, 2083P0500X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC68179OtherBLUE CROSS BLUE SHIELD
NC2123786OtherMAMSI
NC68179OtherBLUE CROSS BLUE SHIELD
NCE23860Medicare UPIN