Active NPI
Steven J Rizzolo, M.D.
- Orthopaedic Surgery of the Spine Physician
- Orange Park, FL
National Provider Identifier
1225065014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME143567
- Practice address
- 421 Kingsley Ave Ste 402
Orange Park, FL 32073-4898 - Phone
- (904) 264-8801
- Fax
- (904) 621-0566
- NPI assigned
- Jun 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME143567 | FL | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME143567 | FL | Primary |
Addresses
Primary practice location
421 Kingsley Ave Ste 402
Orange Park, FL 32073-4898
Mailing address
160 Laurel LN
Ponte Vedra, FL 32082-3908
Phone (406) 260-7604
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225065014 | Medicaid | MT | |
| 000006101 | Other | MT | BLUE CROSS |
| 0099424 | Medicaid | MT | |
| 433416 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME143567 | FL | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Montana Orthopedics and Sports Medicine PC | Past | Accepting new patients | |
| Granite Physical Therapy & Sports | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Physical Therapist
- Billings, MT
- NPI 1588848956
-
- Durable Medical Equipment & Medical Supplies
- Billings, MT
- NPI 1144362211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1225065014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 LAUREL LN",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320823908",
"telephone_number": "406-260-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 KINGSLEY AVE STE 402",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734898",
"telephone_number": "904-264-8801",
"fax_number": "904-621-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZOLO",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME143567",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME143567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225065014",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000006101",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099424",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433416",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.