Active NPI
Anthony Guy Pizzino, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Waller, TX
National Provider Identifier
1235463399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1289
- Practice address
- 33518 Haley Rd # 1
Waller, TX 77484-5110 - Phone
- (888) 344-2947
- NPI assigned
- Sep 22, 2009
- Last updated
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1289 | NU | Primary |
| Surgical Technologist | 246ZS0410X | 1289 | TN |
Addresses
Primary practice location
33518 Haley Rd # 1
Waller, TX 77484-5110
Mailing address
550 N Central Expy Unit 2586
McKinney, TX 75070-0139
Phone (303) 704-4621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1289 | Other | ABRET CNIM |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1289 | TN | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Neuromonitoring | Electroneurodiagnostic | Past | Accepting new patients |
| Atlas Neurophysiological Assessment | Past | Accepting new patients |
Organizations & group practices 2
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 Atlas Neurophysiological Assessment LLC
- Electrodiagnostic Medicine Physician
- Richardson, TX
- NPI 1407142235
-
- Electroneurodiagnostic Specialist/Technologist
- Richardson, TX
- NPI 1093013310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1235463399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N CENTRAL EXPY UNIT 2586",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750700139",
"telephone_number": "303-704-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33518 HALEY RD # 1",
"city": "WALLER",
"state": "TX",
"postal_code": "774845110",
"telephone_number": "888-344-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZINO",
"first_name": "ANTHONY",
"middle_name": "GUY",
"name_prefix": "Mr.",
"credential": "CNIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-22",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": "1289",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TN",
"license": "1289",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABRET CNIM",
"identifier": "1289",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.