Donald Stanley Miezio, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

347 E Burlington St
Riverside, IL 60546-2149

Phone

(708) 442-1859

Fax

(708) 442-1867

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124171244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462149",
            "telephone_number": "708-442-1859",
            "fax_number": "708-442-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 E BURLINGTON ST",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462149",
            "telephone_number": "708-442-1859",
            "fax_number": "708-442-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIEZIO",
        "first_name": "DONALD",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey K Mei, DPT
• Matt Meier, LPC
• Alexis Fernando Mena Penafiel, MD
• Yaheidy Mendoza, LE, CPE
• Lisa Meraz, APN
• Vaishnavi Kalpesh Modi
• Sutirtha Mohanty, MBBS
• Ariel Nicolas Moncayo Saona, MD
• Ana Citlaly Montanez
• Amy E Mooney, MS OTRL

• Family Medicine Physician in Riverside, IL
• Providers in Riverside, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.