Carmen L Terlizzi, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

31400 Issued in WI

Practice address

3040 N 117TH St
Suite 200
Wauwatosa, WI 53222-4129

Phone

(414) 778-0070

Fax

(414) 778-0359

NPI assigned

Oct 4, 2006

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 WI

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

Specialty

Obstetrics/Gynecology

Education

Wright State University Boonshoft School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Medical Group-Southeast Wisconsin IncGroup PAC ID 8628980943, 551 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Obhg Wisconsin, S.C.

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1699273862

  WI

  Medicare reassignment NPD
• Ascension All Saints Hospital, Inc

  • Rehabilitation Hospital Unit
  • Racine, WI
  • NPI 1417966540
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension SE Wisconsin Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384
  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1902991680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 N 117TH ST",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224128",
            "telephone_number": "414-778-0070",
            "fax_number": "414-778-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N 117TH ST",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224129",
            "telephone_number": "414-778-0070",
            "fax_number": "414-778-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERLIZZI",
        "first_name": "CARMEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "31400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31913400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Jon Telfer, MD
• Lynn S Telford, MD
• Russell G Temme, MD
• Jack R Tenge, MD
• Julia Terasa, OTR
• Bonnie J. Tesch, M.D.
• Rudolf R Teschan, MD
• Karen Ruth Teschner
• Jeffrey D Tezak, PT
• Anjali D Thakrar, PAC

• Obstetrics & Gynecology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Obstetrics & Gynecology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.