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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD23093 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
161 MARGINAL WAY |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2438 |
| 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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| 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 Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| 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. |
| 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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| 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.