CMS-1500 Box 24J / 33a • NPI
1285832279
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207V00000X (CMS 16)
Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
Box 32 Service Location & ZIP+4
1076 W MCPHERSON HWY, CLYDE, OH, 43410-1133
✓ 9-Digit EDI 837 ZIP+4 (43410-1133)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1285832279 (COREY RICHARD FAZIO, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1285832279 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | COREY RICHARD FAZIO, DO |
| Plain-English Specialty | Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: 207V00000X (Obstetrics & Gynecology) |
| Certifying / Licensing Body | American Board of Obstetrics and Gynecology (ABOG) |
| Practice Location Address | 1076 W MCPHERSON HWY, CLYDE, OH, 43410-1133 |
| Practice Telephone / Fax | Tel: (419) 547-0216 | Fax: (419) 547-9130 |
| Administrative Mailing Address | 1400 W MAIN ST, BELLEVUE, OH, 44811-9088 |
| Enumeration & Last Sync | Enumerated: 2007-07-11 | CMS Record Updated: 2008-11-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207V00000X)
What Does Taxonomy Code 207V00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COREY RICHARD FAZIO, DO)
Typical CPT / Diagnostic Procedures:- Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
- Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
- Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy
- Prenatal Folic Acid, Iron & Progesterone Supplementation
- Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
- Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207V00000X — Obstetrics & GynecologyPlain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) | State: OH | License: 34009034 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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