Individual provider Active NPI

Mine Oya Ozkazanc, MD

  • Pediatrics Physician
  • Montgomery, AL
National Provider Identifier
1083604110
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35072810O Issued in OH
Practice address
300 Twining St
BLDG 760
Montgomery, AL 36112-6027
Phone
(333) 495-3926
Fax
(334) 953-8607
NPI assigned
Oct 28, 2005
Last updated
Oct 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35072810O OH Primary

Addresses

Primary practice location

300 Twining St
BLDG 760
Montgomery, AL 36112-6027

Mailing address

300 Twining St
BLDG 760
Montgomery, AL 36112-6027
Phone (334) 953-9262

Other identifiers 1

IdentifierTypeStateIssuer
2059801MedicaidOH

Other names 1

  • Mine Oya Oktener Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001697 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0941293633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35072810OOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients
Mine O. Ozkazanc, MD Inc. Pediatrics PastSince Jan 1, 2001 Accepting new patients

Organizations & group practices 2

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1083604110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TWINING ST",
            "address_2": "BLDG 760",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "334-953-9262",
            "fax_number": "334-953-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TWINING ST",
            "address_2": "BLDG 760",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361126027",
            "telephone_number": "333-495-3926",
            "fax_number": "334-953-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZKAZANC",
        "first_name": "MINE",
        "middle_name": "OYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35072810O",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINE",
            "last_name": "OKTENER",
            "middle_name": "OYA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.