Active NPI
William E Rizzo, MD
- Internal Medicine Physician
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301054582
- Practice address
- 5701 Bow Pointe Dr
Suite 120
Clarkston, MI 48346-3198 - Phone
- (248) 625-2273
- Fax
- (248) 625-6336
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | WR054582 | MI | |
| Internal Medicine Physician | 207R00000X | 4301054582 | MI | Primary |
| Hospitalist Physician | 208M00000X | 4301054582 | MI |
Addresses
Primary practice location
5701 Bow Pointe Dr
Suite 120
Clarkston, MI 48346-3198
Mailing address
5701 Bow Pointe Dr
Suite 120
Clarkston, MI 48346-3198
Phone (248) 625-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104467654 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WR054582 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Urgent Care, P.L.L.C. | Current | Accepting new patients | |
| Degara App, PLLC | Current | Accepting new patients | |
| St John Macomb-Oakland Hospital | Emergency Medical Services | Past | Accepting new patients |
| Orchardview Physicians | Past | Accepting new patients | |
| Dr. Raafat Issa,MD,LLC | Past | Accepting new patients |
Locations
5701 Bow Pointe Dr
Ste 1
Clarkston, MI 48346
Phone (248) 625-2273
9749 Dixie Hwy
Ste B
Clarkston, MI 48348
Phone (248) 942-5888
5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Urgent Care Clinic/Center
- Clarkston, MI
- NPI 1144747460
-
- Primary Care Clinic/Center
- Shelby TWP, MI
- NPI 1578752127
-
- Urgent Care Clinic/Center
- Washington Township, MI
- NPI 1649435256
-
- Emergency Medical Services (Emergency Medicine) Physician
- Warren, MI
- NPI 1902817620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1114931698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DR",
"address_2": "SUITE 120",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463198",
"telephone_number": "248-625-2273",
"fax_number": "248-625-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 BOW POINTE DR",
"address_2": "SUITE 120",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463198",
"telephone_number": "248-625-2273",
"fax_number": "248-625-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "WR054582",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301054582",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301054582",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104467654",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.