Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ronald Anthony Fazio, PA

Individual provider Surgical Physician Assistant · NPI 1962738146

Ronald Anthony Fazio, PA is a Physician Assistant in Raleigh, North Carolina. Qualified in 1993, 33 years ago. Practices with Wakemed Specialists Group LLC, a 869-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 231-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1000406 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 1000406 (NC)

Record details

NPI number1962738146
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 23, 2009
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Wakemed Specialists Group Llc — 869 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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