Individual provider Active NPI

Angela Marie Fanizza-Orphanos, M.D.

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1962407379
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35-059679F Issued in OH
Practice address
5400 Kennedy Avenue
Cincinnati, OH 45213
Phone
(513) 281-3400
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5119 AK
Diagnostic Radiology Physician 2085R0202X 33527 AZ
Diagnostic Radiology Physician 2085R0202X E-4300 AR
Diagnostic Radiology Physician 2085R0202X 044061 CT
Diagnostic Radiology Physician 2085R0202X ME95593 FL
Diagnostic Radiology Physician 2085R0202X 036-110099 IL
Diagnostic Radiology Physician 2085R0202X 01039038 IN
Diagnostic Radiology Physician 2085R0202X 24780 KY
Diagnostic Radiology Physician 2085R0202X D60524 MD
Diagnostic Radiology Physician 2085R0202X 4301075651 MI
Diagnostic Radiology Physician 2085R0202X 2004034151 MO
Diagnostic Radiology Physician 2085R0202X 228827 NY
Diagnostic Radiology Physician 2085R0202X 35-059679F OH Primary
Diagnostic Radiology Physician 2085R0202X 5832 SD

Addresses

Primary practice location

5400 Kennedy Avenue
Cincinnati, OH 45213

Mailing address

5400 Kennedy Avenue
Cincinnati, OH 45213
Phone (513) 281-3400

Other identifiers 1

IdentifierTypeStateIssuer
0835476MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5119AKMDDiagnostic Radiology Physician
E-4300ARMDDiagnostic Radiology Physician
33527AZMDDiagnostic Radiology Physician
044061CTMDDiagnostic Radiology Physician
036-110099ILMDDiagnostic Radiology Physician
01039038INMDDiagnostic Radiology Physician
24780KYMDDiagnostic Radiology Physician
D60524MDMDDiagnostic Radiology Physician
4301075651MIMDDiagnostic Radiology Physician
2004034151MOMDDiagnostic Radiology Physician
228827NYMDDiagnostic Radiology Physician
35-059679FOHMDDiagnostic Radiology Physician
5832SDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Physicians Imaging Center of Florida LLC Diagnostic Radiology PastSince May 18, 2016 Accepting new patients
Westside Open MRI Diagnostic Center LLC Diagnostic Radiology Past Accepting new patients
Proscan Imaging Naples LLC Diagnostic Radiology PastSince Aug 26, 2011 Accepting new patients
Proscan Radiology Buffalo, PLLC Diagnostic Radiology Past Accepting new patients
Amd Southfield Michigan - Limited Partnership PastSince Mar 28, 2019 Accepting new patients
American Imaging Center of West Orange LLC Past Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1962407379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45213",
            "telephone_number": "513-281-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45213",
            "telephone_number": "513-281-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANIZZA-ORPHANOS",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "5119",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "33527",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-4300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "044061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME95593",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-110099",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01039038",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "24780",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D60524",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301075651",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2004034151",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "228827",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35-059679F",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "5832",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0835476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.