Andrew C Pederzolli, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35043732 Issued in OH

Practice address

1059 E State St
Salem, OH 44460

Phone

(330) 332-9991

Fax

(330) 352-2188

NPI assigned

Jan 24, 2006

Last updated

Sep 14, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Andrew C Pederzolli MD Inc

  • Ophthalmology Physician
  • Salem, OH
  • NPI 1184697294
  Medicare reassignment NPD Authorized official
• Andrew C Pederzolli MD Inc

  • Ophthalmology Physician
  • Alliance, OH
  • NPI 1972689578
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1730159559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 EAST STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "44460",
            "telephone_number": "330-332-9991",
            "fax_number": "330-332-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "44460",
            "telephone_number": "330-332-9991",
            "fax_number": "330-352-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERZOLLI",
        "first_name": "ANDREW",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35043732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0488048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John Cletus Paumier, MD
• Harry Bartholomew Pearce, MD
• Jason Robert Perkins, R.PH.
• Justin Perry, PT
• Dominic Joseph Peters, MD
• Thomas George Peters, D.C.
• Physicians Dialysis Company, Inc. (Fresenius Medical Care Salem South)

• Ophthalmology Physician in Salem, OH
• Providers in Salem, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.