Shawn Eugene Fazio
Family Medicine

Address: 8100 Oswego Road, Suite 220, Liverpool, NY 13090
Phone: 3156526551

Shawn Eugene Fazio (NPI# 1437224755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1437224755
Entity Type Individual
Full Name Shawn Eugene Fazio
Credential MD
Gender Male
Practice Address 8100 Oswego Road
Suite 220
Liverpool
NY 13090
Practice Telephone 3156526551
Practice Fax Number 3156529698
Mailing Address 8100 Oswego Road
Suite 220
Liverpool
NY 13090
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-21
Last Update Date 2008-05-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 168711 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 01414548 MEDICAID
080178301 OTHER RAILROAD MEDICARE
980680 OTHER MVP HEALTHCARE INSURER

Physician Overview

NPI 1437224755
PAC ID by PECOS 2769574813
Professional Enrollment ID I20120321000000
Full Name Shawn Eugene Fazio
Organization Legal Name FAMILY PRACTICE ASSOCIATES PLLC
Phone Number 3156526551
Gender F
Medical School STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1985
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 5698867745
Number of Group Practice Members 10
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330241 UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER

Office Location

Street Address 8100 OSWEGO ROAD
SUITE 220
City LIVERPOOL
State NY
Zip Code 13090

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164597498 Lauri Ann Fairbanks Doane Family Medicine 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-21
1871661462 Michael Robert Nolan General Practice 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-12-01
1679641617 Mark John Vanhusen Family Medicine 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-30
1891860086 Sandra Marie Banas Physician Assistant 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-22
1194890384 Kay Lorraine Callahan Nurse Practitioner 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-22
1467527655 John Gerard Obrien Family Medicine 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-22
1124193339 Heather Anne Hudson-delap Physician Assistant 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063987386 Alison Fasano Massage Therapist 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 2018-10-13
1275028540 Alexis Marie Degennaro Speech-Language Pathologist 7672 Mountain Ash, Liverpool, NY 13090 2018-06-28
1164891560 Lyndsey Noel Martin Nurse Practitioner 7953 Orion Path, Liverpool, NY 13090 2015-09-16
1326423765 Mary Beth Witte Occupational Therapist 3774 State Route 31, Apt 1508, Liverpool, NY 13090 2015-07-28
1801274808 Heather C Eldredge Contractor 104 Eagles Pointe Circle, Liverpool, NY 13090 2015-05-11
1881084861 Brian Tarolli Massage Therapist 7960 Oswego Road, Liverpool, NY 13090 2015-01-29
1164825469 Tara Hilmanowski Nurse Practitioner 7375 Oswego Rd Ste 1, Liverpool, NY 13090 2014-09-30
1609280452 Samantha Whittemore Registered Nurse 7815 Anadale Lane, Liverpool, NY 13090 2014-06-19
1588085914 Cheryl Thompson Licensed Practical Nurse 4801 Amersham Ct, Liverpool, NY 13090 2014-01-03
1841548450 Jean Marie Longden Personal Emergency Response Attendant 5 Fruitwood Drive, May, NY 13090 2012-08-29
Find all providers in zip 13090

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023186061 Brian Keith Smith Family Medicine 8324 Oswego Rd, Ste D, Liverpool, NY 13090-1086 2006-11-30
1164597498 Lauri Ann Fairbanks Doane Family Medicine 8100 Oswego Road, Suite 220, Liverpool, NY 13090 2006-11-21
1528000668 Nancy C Blake Family Medicine 7523 Morgan Rd, Village Medical of Cny, Liverpool, NY 13090-3538 2006-06-12
1124008263 Christian L Holcomb Family Medicine 8134a Oswego Rd, Liverpool, NY 13090 2006-01-17
1104276252 Ny Primary Care Practice PC Family Medicine 7375 Oswego Rd, Suite 2, Liverpool, NY 13090-3717 2016-06-20
1467793273 Andrew P Hathaway Family Medicine 5100 W Taft Rd, Suite 2t, Liverpool, NY 13088-3807 2013-03-05
1174802540 Christian L Holcomb Md, PC Family Medicine 8134 Oswego Rd, Suite A, Liverpool, NY 13090-1500 2011-08-16
1215215421 Wei-yu Chou Family Medicine 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2011-07-22
1205135357 Christian L Holcomb, Md Family Medicine 8134 Oswego Rd, Suite A, Liverpool, NY 13090-1500 2011-03-15
1790006294 James A. Loomis Family Medicine 5100 W Taft Rd, Suite 1d, Liverpool, NY 13088-3807 2010-06-18
Find all providers in LIVERPOOL

Competitor

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City LIVERPOOL
Zip Code 13090

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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