Michael Fazio (NPI# 1811123433, PAC ID# 4880914761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1811123433 |
| PAC ID by PECOS | 4880914761 |
| Professional Enrollment ID | I20150515001148 |
| Full Name | Michael Fazio |
| Organization Legal Name | UNIVERSAL RADIOLOGY CONSULTANTS PC |
| Address |
9421 Elderberry Rd Middleton WI 53562-4365 |
| Phone Number | 5157836897 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2769485655 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| 110153 | PERRY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17009 Flatwood Dr, Derwood, MD 20855-2538 | 4783333603 | UNIVERSAL RADIOLOGY CONSULTANTS PC |
| 9421 Elderberry Rd, Middleton, WI 53562-4365 | 5157836897 | UNIVERSAL RADIOLOGY CONSULTANTS PC |
| Organization Legal Name | UNIVERSAL RADIOLOGY CONSULTANTS PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Najmeh Rohani | Diagnostic Radiology | Universal Radiology Consultants PC | 12347 Eddington Pl, Fishers, IN 46037-5400 |
| Shanon D Smith | Diagnostic Radiology | Universal Radiology Consultants PC | 1609 Heritage Dr, Hastings, NE 68901-2870 |
| Noman Ahmed Malik | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Rebecca Leigh Beasley | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Chaitanya Vemulapalli | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Lori Blanton Armstrong | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Ali Akhter Shaikh | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Gary M Suhr | Diagnostic Radiology | Universal Radiology Consultants PC | 1120 Morningside Dr, Perry, GA 31069-2906 |
| Street Address |
9421 ELDERBERRY RD |
| City | MIDDLETON |
| State | WI |
| Zip | 53562-4365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Patrick Huemmer | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 6705 University Ave, Middleton, WI 53562 |
| Tracy C Francis-nguyen | Chiropractic | Luedtke-storm-mackey Chiropractic Clinic, Sc | 6705 University Ave, Middleton, WI 53562 |
| Anthony J Braus | Hospice/palliative Care | Agrace Palliative Care LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Sandra K Seuser | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Charles O Awiti | Occupational Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Andrea J Mysliwiec | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Rhonda Kay Weber | Speech Language Pathologist | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Sara A Anderson | Physical Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Charlotte R Steckelberg | Occupational Therapy | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Liberty L Siebrecht | Speech Language Pathologist | Sundance Rehabilitation LLC | 5330 Century Ave, Middleton, WI 53562-2007 |
| Find all physicians in zip 53562 | |||
| City | MIDDLETON |
| Zip Code | 53562 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MIDDLETON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael Fazio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.