Healthcare Provider Details

I. General information

NPI: 1922239854
Provider Name (Legal Business Name): CHRISTOPHER SAMUEL MIZZI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BOWER HILL RD
PITTSBURGH PA
15243-1873
US

IV. Provider business mailing address

1000 BOWER HILL RD ATTN AFFILIATE BILING PAMALYN
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-942-4000
  • Fax:
Mailing address:
  • Phone: 412-942-2677
  • Fax: 412-942-2679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS016189
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS016189
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: