Provider Demographics
NPI:1053371153
Name:RIZZO, WARREN C (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:C
Last Name:RIZZO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 N 92ND ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258
Mailing Address - Country:US
Mailing Address - Phone:480-451-3222
Mailing Address - Fax:480-451-3222
Practice Address - Street 1:10210 N 92ND ST
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4509
Practice Address - Country:US
Practice Address - Phone:480-451-3222
Practice Address - Fax:480-451-3224
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28981207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ3200086OtherUNITED HEALTH CARE
AZ320045672OtherALL OTHER INS PROVIDERS
AZAZ0726620OtherBCBS
AZWORKERS COMPENSATIONOther28981
AZ110247592OtherPALMETTO RAILROAD MEDICAR
AZ563826OtherAHCCCS
AZ1Z6190OtherHEALTHNET
AZ5403601OtherCCN
AZ563826Medicaid
AZ7686072OtherAETNA
AZ563826OtherAHCCCS
AZC33085Medicare UPIN
AZ563826Medicaid