Individual provider Active NPI

Pamela Jane Rizza, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Atchison, KS
National Provider Identifier
1093031585
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
04-37177 Issued in KS
Practice address
810 Ravenhill Drive
Atchison, KS 66002
Phone
(913) 360-5829
Fax
(913) 674-2040
NPI assigned
Apr 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0437177 KS
Sports Medicine (Family Medicine) Physician 207QS0010X 04-37177 KS Primary

Addresses

Primary practice location

810 Ravenhill Drive
Atchison, KS 66002

Mailing address

820 Ravenhill Dr
Atchison Hospital Association Dba Advanced Health Servi
Atchison, KS 66002-9268
Phone (913) 360-5829

Other names 1

  • Pamela Jane Bird Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0437177KSMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1093031585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 RAVENHILL DR",
            "address_2": "ATCHISON HOSPITAL ASSOCIATION DBA ADVANCED HEALTH SERVI",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029268",
            "telephone_number": "913-360-5829",
            "fax_number": "913-674-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 RAVENHILL DRIVE",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "66002",
            "telephone_number": "913-360-5829",
            "fax_number": "913-674-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZA",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0437177",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "04-37177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BIRD",
            "middle_name": "JANE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.