Active NPI
Anthony James Nigliazzo, M.D.
- Surgery Physician
- Berea, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301090768
- Practice address
- 305 Estill St
Berea, KY 40403-1742 - Phone
- (859) 986-8418
- NPI assigned
- Jul 25, 2007
- Last updated
- Oct 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301090768 | MI | Primary |
Addresses
Primary practice location
305 Estill St
Berea, KY 40403-1742
Mailing address
106 Hanover Dr
London, KY 40741-9775
Phone (260) 301-4062
Other practice location 1
303 S Main St
Bluffton, IN 46714-2503
Phone (260) 353-2021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Oklahoma College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
213 E Redwood Ave
Sallisaw, OK 74955-2811
Phone (918) 774-1100
6 N Covington St
Coalgate, OK 74538-2002
Phone 5809272327245
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090768 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coal County General Hospital | Current | Accepting new patients | |
| Coal County General Hospital | Current | Accepting new patients | |
| Hospital Care Consultants, Inc | Current | Accepting new patients | |
| Coal County General Hospital | Past | Accepting new patients | |
| Sequoyah County City of Sallisaw Hospital Authority | Past | Accepting new patients |
Locations
1668 W Liberty Rd
Atoka, OK 74525
Phone (580) 326-6423
6 N Covington St
Coalgate, OK 74538
Phone (580) 927-2327
1011 N Hinckley St
Holdenville, OK 74848
Phone (405) 592-3500
213 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 774-1100
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mary Hurley Hospital
- Critical Access Hospital Clinic/Center
- Coalgate, OK
- NPI 1750459756
-
- Emergency Medicine Physician
- McAlester, OK
- NPI 1912945635
-
- Emergency Medicine Physician
- Hardinsburg, KY
- NPI 1346746385
-
dba Eastern Oklahoma Health Clinic of Atoka
- Family Medicine Physician
- Atoka, OK
- NPI 1639877871
-
dba Mary Hurley Hospital
- Critical Access Hospital
- Coalgate, OK
- NPI 1629077227
-
dba Sequoyah Memorial Hospital
- Rural Acute Care Hospital
- Sallisaw, OK
- NPI 1972539567
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mary Hurley Hospital
- Critical Access Hospital
- Coalgate, OK
- NPI 1629077227
-
dba Mary Hurley Hospital
- Medicare Defined Swing Bed Hospital Unit
- Coalgate, OK
- NPI 1730357922
Nursing home
-
dba Sequoyah Memorial Hospital
- Rural Acute Care Hospital
- Sallisaw, OK
- NPI 1972539567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1235339433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HANOVER DR",
"city": "LONDON",
"state": "KY",
"postal_code": "407419775",
"telephone_number": "260-301-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-986-8418"
}
],
"practiceLocations": [
{
"address_1": "303 S Main St",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "IN",
"postal_code": "467142503",
"country_code": "US",
"telephone_number": "260-353-2021",
"fax_number": "260-919-3559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIGLIAZZO",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301090768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.