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1598758633

NPI Code Detail

MEDICARE: MATTHEW RIZZO MD

MEDICARE: MATTHEW RIZZO MD

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
1	2084N0400X	Neurology Physician	22918	IA
2	2084N0400X	Neurology Physician	27788	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19443	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1598758633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW RIZZO MD

Provider Business Mailing Address
First Line	:	988102 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-8102
Country	:	US
Telephone Number	:	402-559-8600
Fax Number	:	402-559-5010

Provider Business Practice Location Address
First Line	:	988102 NEBRASKA MEDICAL CTR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-8102
Country	:	US
Telephone Number	:	402-559-8600
Fax Number	:	402-559-5010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/31/2014

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Directions to “ MATTHEW RIZZO MD” Practice Location

Language	Start Address	Practice Location

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