Provider Demographics
NPI:1639103013
Name:RIZZO, CHRISTOPHER P (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:RIZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12516 SADDLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-2898
Mailing Address - Country:US
Mailing Address - Phone:330-592-5884
Mailing Address - Fax:301-398-7823
Practice Address - Street 1:12516 SADDLEBROOK LN
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-2898
Practice Address - Country:US
Practice Address - Phone:330-592-5884
Practice Address - Fax:301-398-7823
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055533208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0699534Medicaid
OHRI7120881Medicare PIN
OH0699534Medicaid