Provider Demographics
NPI:1063520757
Name:RIGOLIZZO, DONNA (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:RIGOLIZZO
Suffix:
Gender:F
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:PO BOX 729
Mailing Address - Street 2:
Mailing Address - City:SALTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24370-0729
Mailing Address - Country:US
Mailing Address - Phone:276-496-4492
Mailing Address - Fax:276-496-4839
Practice Address - Street 1:308 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SALTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24370-3112
Practice Address - Country:US
Practice Address - Phone:276-496-4433
Practice Address - Fax:276-496-5923
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012349842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004945298Medicaid
VI191962OtherANTHEM BLUE CROSS
VA413621OtherVALUE OPTIONS
VA191960OtherANTHEM BLUE CROSS
VA191961OtherANTHEM BLUE CROSS
VAC04810OtherMEDICARE GROUP NUMBER
VAC06723OtherMEDICARE GROUP NUMBER
VAC06794OtherMEDICARE GROUP NUMBER
VA191963OtherANTHEM BLUE CROSS
VI191962OtherANTHEM BLUE CROSS
VAC06723OtherMEDICARE GROUP NUMBER
VAE89749Medicare UPIN
VA191961OtherANTHEM BLUE CROSS