Individual provider Active NPI

Anthony Joseph Vazzano, M.D.

  • Pediatrics Physician
  • Owings Mills, MD
National Provider Identifier
1447228341
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0025020 Issued in MD
Practice address
10084 Reisterstown Rd Ste 200B
Owings Mills, MD 21117-4096
Phone
(410) 526-7993
Fax
(410) 526-5144
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0025020 MD Primary

Addresses

Primary practice location

10084 Reisterstown Rd Ste 200B
Owings Mills, MD 21117-4096

Mailing address

750 Main St
Suite 203
Reisterstown, MD 21136-2515
Phone (410) 526-7993

Other practice location 1

750 Main St
Suite 203
Reisterstown, MD 21136-2515
Phone (410) 526-7993

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

LicenseStateTypeSpecialty
D0025020MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anthonyvazzano@msp.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1447228341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 203",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211362515",
            "telephone_number": "410-526-7993",
            "fax_number": "410-526-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10084 REISTERSTOWN RD STE 200B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174096",
            "telephone_number": "410-526-7993",
            "fax_number": "410-526-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Main St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Reisterstown",
            "state": "MD",
            "postal_code": "211362515",
            "country_code": "US",
            "telephone_number": "410-526-7993",
            "fax_number": "410-526-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZZANO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0025020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.