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NPI Code Detail

MEDICARE: PAUL A JORIZZO M.D.

MEDICARE: PAUL A JORIZZO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician13522OR
2207WX0009XGlaucoma Specialist (Ophthalmology) PhysicianMD13522OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2180014363OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3001191004OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1568530335
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL A JORIZZO M.D.
Provider Business Mailing Address
First Line : 1333 E BARNETT RD
Second Line :
City : MEDFORD
State : OR
Zip : 97504-8219
Country : US
Telephone Number : 541-779-4711
Fax Number : 541-779-0796
Provider Business Practice Location Address
First Line : 1333 E BARNETT RD
Second Line :
City : MEDFORD
State : OR
Zip : 97504-8219
Country : US
Telephone Number : 541-779-4711
Fax Number : 541-779-0796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 05/19/2020

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Directions to “ PAUL A JORIZZO M.D.” Practice Location

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