Phyllis Lisa Iannuzzi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.042760 Issued in OH

Practice address

10828 Ravenna Rd
Twinsburg, OH 44087-1058

Phone

(330) 405-0638

Fax

(330) 405-0639

NPI assigned

Oct 3, 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dennis Grossman M.N., Inc.

  • Internal Medicine Physician
  • Bedford, OH
  • NPI 1962404608
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1609960913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871058",
            "telephone_number": "330-405-0638",
            "fax_number": "330-405-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871058",
            "telephone_number": "330-405-0638",
            "fax_number": "330-405-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNUZZI",
        "first_name": "PHYLLIS",
        "middle_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.042760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0526523",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson O Hummel, APRN- CNP
• Samantha Humpal, MS, RDN, LDN
• David J. Hunyady, OD
• Tajare Hurt
• Tyrez Hurt
• Carolyn Iles, DC
• Elizabeth Illig, MOT, OTR/L
• Infinity Eye Care LLC
• Innovative Health Services (A Special Touch Boutique)
• Inspire Connections Therapy

• Internal Medicine Physician in Twinsburg, OH
• Providers in Twinsburg, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.