Provider Demographics
NPI:1346067097
Name:PIZZUTE SURGICAL ASSISTING
Entity type:Organization
Organization Name:PIZZUTE SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIZZUTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,CNOR,RNFA
Authorized Official - Phone:234-233-0244
Mailing Address - Street 1:6252 BUCKEYE PKWY
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8718
Mailing Address - Country:US
Mailing Address - Phone:234-233-0244
Mailing Address - Fax:
Practice Address - Street 1:6252 BUCKEYE PKWY
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8718
Practice Address - Country:US
Practice Address - Phone:234-233-0244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WS0121XNursing Service ProvidersRegistered NursePlastic SurgeryGroup - Multi-Specialty