Individual provider Active NPI

Michael Rizzo

  • Histology Specialist/Technologist
  • Sheboygan Falls, WI
National Provider Identifier
1851152607
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Histology Specialist/TechnologistTaxonomy code 246QH0600X
License
001027 Issued in NY
Practice address
350 Broadway St Apt 404
Sheboygan Falls, WI 53085-1359
Phone
(815) 245-8255
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Histology Specialist/Technologist 246QH0600X 001027 NY Primary

Addresses

Primary practice location

350 Broadway St Apt 404
Sheboygan Falls, WI 53085-1359

Mailing address

350 Broadway St Apt 404
Sheboygan Falls, WI 53085-1359
Phone (815) 245-8255

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001027NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1851152607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST APT 404",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851359",
            "telephone_number": "815-245-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BROADWAY ST APT 404",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851359",
            "telephone_number": "815-245-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "NY",
            "license": "001027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.