STEPHAN ROBERT IZZI (NPI# 1629079173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629079173 |
| Entity Type | Individual |
| Full Name | STEPHAN ROBERT IZZI |
| Credential | MD |
| Practice Address |
7575 Ritchie Hwy Glen Burnie MD 21061-8951 |
| Practice Telephone | 4107661444 |
| Practice Fax Number | 4107669453 |
| Mailing Telephone | 4107661444 |
| Mailing Fax Number | 4107669453 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0025782 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BSMD | 41551201 | 01 |
| Street Address |
7575 RITCHIE HWY |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-8951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230275 | Ruth Latanya Gilliam-phillips | Podiatrist | 7575 Ritchie Hwy, Glen Burnie, MD 21061-8951 | 2005-08-01 |
| 1568994820 | Axiom Surgical LLC | Surgery | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2017-03-28 |
| 1467832683 | Vincent Izzi | Family Medicine | 7575 Ritchie Hwy, Glen Burnie, MD 21061 | 2015-06-03 |
| 1558618249 | Brian K. Dragan, D.c. | Chiropractor | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2012-08-13 |
| 1043470339 | Dr. Darlyne Cange,dpm,llc | Podiatrist | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2008-06-11 |
| 1063692218 | Alok K Gupta | Surgery | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2007-11-05 |
| 1508904772 | Darlyne Cange | Podiatrist | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2007-02-01 |
| 1366435596 | Arundel Medical Group Inc | Internal Medicine | 7575 Ritchie Hwy, Glen Burnie, MD 21061-3716 | 2005-08-23 |
| 1801897350 | Ram Kumar Rastogi | General Practice | 7575 Ritchie Hwy, Glen Burnie, MD 21061-8951 | 2005-08-09 |
| 1205836236 | Anil Chopra | Internal Medicine | 7575 Ritchie Hwy, Glen Burnie, MD 21061-8951 | 2005-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578850541 | Monica Agarwal | Family Medicine | 203 Hospital Dr Ste 312, Glen Burnie, MD 21061 | 2011-06-29 |
| 1679724983 | Patient First Maryland Medical Group Pllc | Family Medicine | 7116 Ritchie Highway, Glen Burnie, MD 21061-9263 | 2008-10-06 |
| 1407921372 | Allen Craig Fisher | Family Medicine | 1414 Crain Hwy N Ste 5a, Glen Burnie, MD 21061-9307 | 2006-11-22 |
| 1447350012 | Rita - Khandelwal | Family Medicine | 1600 Crain Hwy S Ste 610, Glen Burnie, MD 21061-6442 | 2006-09-24 |
| 1790780542 | Richard Safeer | Family Medicine | 6704 Curtis Ct, Glen Burnie, MD 21060-6406 | 2005-06-17 |
| 1881201184 | Gold Shield Medical Services LLC | Family Medicine | 1600 Crain Hwy S Ste 201, Glen Burnie, MD 21061-6438 | 2020-09-30 |
| 1700376977 | Steven Hesch Fishbein | Family Medicine | 7116 Ritchie Hwy, Glen Burnie, MD 21061-2904 | 2018-05-14 |
| 1164951109 | Lauren Lachelle Wiafe-ababio | Family Medicine | 7671 Quarterfield Rd, Glen Burnie, MD 21061-4998 | 2017-06-05 |
| 1871028423 | Nausheen Syed | Family Medicine | 7116 Ritchie Hwy, Glen Burnie, MD 21061-2904 | 2017-04-20 |
| 1467832683 | Vincent Izzi | Family Medicine | 7575 Ritchie Hwy, Glen Burnie, MD 21061 | 2015-06-03 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.