Gregory Alan Mazur, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

310 Issued in OK

Practice address

9915 Tamiami TRL N Ste 1
Naples, FL 34108

Phone

(239) 566-8800

Fax

(239) 566-2671

NPI assigned

Jul 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Gulfcoast Foot and Ankle Specialists LLCGroup PAC ID 4082991930, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Naples Community Hospital Hospital, Naples, FL, CCN 100018
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulfcoast Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Estero, FL
  • NPI 1033654413
  Medicare reassignment Care Compare group NPD
• Gulfcoast Foot and Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1417492265
  NPD
• Gulfcoast Foot and Ankle Center

  • Primary Podiatric Medicine Podiatrist
  • Bonita Springs, FL
  • NPI 1194156158
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Naples Community Hospital Inc

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1720085137
  Care Compare affiliation

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1083901367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 PASETTO LN APT 405",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082670",
            "telephone_number": "757-287-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 TAMIAMI TRL N STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34108",
            "telephone_number": "239-566-8800",
            "fax_number": "239-566-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Health Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341358127",
            "country_code": "US",
            "telephone_number": "239-949-3399",
            "fax_number": "239-949-6553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "057638",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Maydish, R.N.
• Jerome Stephen Mayersak, M.D.
• Iliadys Mayor de Leon, NP
• Emalee Mays
• Jennifer J Mazorra, NP-C
• Janice E Mazur, ARNP
• Victoria Elise Mazzella, MD
• Ida M Mazzone, MD
• Mca Naples Operating Company, LLC
• John Warren McBroom, MD

• Foot & Ankle Surgery Podiatrist in Naples, FL
• Providers in Naples, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.