Harry J Cazzola, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G0966 Issued in TX

Practice address

301 N 23Rd St
Suite C
Canyon, TX 79015-3028

Phone

(806) 452-5522

Fax

(806) 452-3070

NPI assigned

Jul 19, 2006

Last updated

Aug 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1487673695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-452-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 23RD ST",
            "address_2": "SUITE C",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153028",
            "telephone_number": "806-452-5522",
            "fax_number": "806-452-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZZOLA",
        "first_name": "HARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0966",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "G0966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8GE512",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231052-05",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "160046831",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00FR71",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487673695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canyon Isd
• Sarah Elizabeth Carlisle, FNP-C
• April Melissa Carpenter
• Jessica Carpenter
• Jeffrey Case, ATC
• Cherish Walker PLLC
• Joe Chitwood
• Spencer Church, PT, DPT
• Tony Allen Clark, M.P.T.
• David B Clarke, MD

• Family Medicine Physician in Canyon, TX
• Providers in Canyon, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.