Debra Ann Izzio, RPA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011631 Issued in NY

Practice address

529 Central Ave
Dunkirk, NY 14048-2514

Phone

(716) 672-5420

Fax

(716) 672-6368

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1396811949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER ST",
            "address_2": "SUITE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631769",
            "telephone_number": "716-672-5420",
            "fax_number": "716-672-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482514",
            "telephone_number": "716-672-5420",
            "fax_number": "716-672-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZZIO",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02901586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Robert Honeychurch, LMSW
• Jung Min Hong, DMD
• Susan L. Hughes, LMT
• Joseph Nicholas Iannicelli
• Shawna Ippolito, B.S.
• Kristin Jackson
• Lenore Jakiela
• Nabil Jamal, MD
• Jennifer L Foley DDS
• Kyoungsoo Jeon

• Physician Assistant in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.