Active NPI
David Keith Mazer, M.D.
- Hospitalist Physician
- Orlando, FL
National Provider Identifier
1033195870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME74014
- Practice address
- 1414 Kuhl Ave
Orlando, FL 32806-2008 - Phone
- (407) 805-9503
- Fax
- (321) 396-7711
- NPI assigned
- Dec 22, 2005
- Last updated
- Nov 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME74014 | FL | Primary |
Addresses
Primary practice location
1414 Kuhl Ave
Orlando, FL 32806-2008
Mailing address
PO Box 950699
Lake Mary, FL 32795-0699
Phone (407) 805-9503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2578638 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74014 | FL | MD | Hospitalist Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1033195870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950699",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327950699",
"telephone_number": "407-805-9503",
"fax_number": "321-396-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 KUHL AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062008",
"telephone_number": "407-805-9503",
"fax_number": "321-396-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZER",
"first_name": "DAVID",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME74014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2578638",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.