Craig Mezrow, MS, MD, FACS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD073373L Issued in PA

Practice address

225 E. City Avenue
Suite 14
Bala Cynwyd, PA 19004-1006

Phone

(610) 664-8888

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1063569663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CITY AVE",
            "address_2": "SUITE 14",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E. CITY AVENUE",
            "address_2": "SUITE 14",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041006",
            "telephone_number": "610-664-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZROW",
        "first_name": "CRAIG",
        "credential": "MS, MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD073373L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kendra Mickens
• Milena Rossius LPC
• Shelley F Milestone, PH.D.
• Kimberly Ann Miller, PT, DPT

• Plastic Surgery Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.