Krisell D. Fedrizzi, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KRISELL D. FEDRIZZI, D.O.

Practice address

325 N Main St Ste 206
Springboro, OH 45066-8005

Phone

(937) 949-4713

Fax

(855) 460-5802

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Krisell D Fedrizzi, DO

Title

Owner

Phone

(937) 974-9716

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19855/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1467064865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAIN ST STE 206",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668005",
            "telephone_number": "937-949-4713",
            "fax_number": "855-460-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MAIN ST STE 206",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668005",
            "telephone_number": "937-949-4713",
            "fax_number": "855-460-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISELL D. FEDRIZZI, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "FEDRIZZI",
        "authorized_official_first_name": "KRISELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-974-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Springboro, OH
• Providers in Springboro, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.