DR. KELLY DAYLYN PIZZO


Address: 161 Marginal Way, Portland, ME 04101-2438
Phone: 2077737964

DR. KELLY DAYLYN PIZZO (NPI# 1376986513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376986513
Entity Type Individual
Full Name DR. KELLY DAYLYN PIZZO
Other Name KELLY DAYLYN PITTS
Credential M.D.
Practice Address 161 Marginal Way
Portland
ME 04101-2438
Practice Telephone 2077737964
Practice Fax Number 2077739073
Mailing Telephone 2077737964
Mailing Fax Number 2077739073
Enumeration Date 2013-04-08
Last Update Date 2019-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
MD23093 ME Allopathic & Osteopathic Physicians

Office Location

Street Address 161 MARGINAL WAY
City PORTLAND
State ME
Zip Code 04101-2438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518963677 Jeffrey K Moore Ophthalmology 161 Marginal Way, Portland, ME 04101-2438 2005-06-23
1477952075 Karen Stoughton Nurse Practitioner 161 Marginal Way, Portland, ME 04101-2438 2014-08-19
1376950337 Ekaterina Funk Nurse Practitioner 161 Marginal Way, Portland, ME 04101-2438 2014-07-22
1831534031 Cristina Churchill Rutherford Internal Medicine 161 Marginal Way, Portland, ME 04101-2438 2013-05-02
1164710075 Noemi Baffy Internal Medicine 161 Marginal Way, Portland, ME 04101-2438 2011-07-12
1831488477 Karrie K Sweet Dietitian, Registered 161 Marginal Way, Portland, ME 04101 2011-04-05
1033363528 Caitlin Phelps Physician Assistant 161 Marginal Way, Portland, ME 04101-2438 2008-11-10
1134325806 Kate Forssell Kennedy Internal Medicine 161 Marginal Way, Portland, ME 04101-2438 2007-06-21
1891990602 Daniil Rolshud Internal Medicine 161 Marginal Way, Portland, ME 04101-2438 2007-06-20
1508087289 Portland Gastroenterology Associates P.a. Internal Medicine 161 Marginal Way, Portland, ME 04101 2007-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003175464 Arnab Mitra Internal Medicine 3181 Sw Sam Jackson Park Road, L461, Oregon Health and Science University, Portland, OR 97239-3098 2012-05-04
1154584241 Dana N Hemmati Internal Medicine 10000 Se Main St Ste 112, Portland, OR 97216-2441 2008-07-08
1619138401 Casco Bay Gastroenterology LLC Internal Medicine 195 Fore River Pkwy Ste 490, Portland, ME 04102-2779 2008-06-24
1750587945 Charles Clark Gabbert II Internal Medicine 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 2007-06-25
1457556086 Marc Karl Binder Internal Medicine 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 2007-06-14
1356569529 Newell A Augur Jr. Internal Medicine 16 Chadwick St, Portland, ME 04102-3504 2007-04-23
1326117771 John Lee Haughom Internal Medicine 0841 Sw Gaines St Unit 2204, Portland, OR 97239-3105 2006-11-07
1356431464 Hsichao Chow Internal Medicine 10000 Se Main St 112, Gastroenterology Assoc, Portland, OR 97216-2441 2006-10-13
1356356851 Kandice Leigh Knigge Internal Medicine 3181 Sw Sam Jackson Park Rd # 310, Portland, OR 97239-3011 2006-07-31
1841290699 Ronald J. Hapke Internal Medicine 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 2005-07-22
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Competitor

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City PORTLAND
Zip Code 04101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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