Organization Active NPI

Stephen B Mazer MD PA

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1104925189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0028141 Issued in FL
Legal business name
STEPHEN B MAZER MD PA
Practice address
1501 N Belcher Rd Ste 199
Clearwater, FL 33765-1339
Phone
(727) 796-2498
Fax
(727) 797-9563
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Barry Mazer, MD
Title
Doctor
Phone
(727) 796-2498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0028141 FL Primary

Addresses

Primary practice location

1501 N Belcher Rd Ste 199
Clearwater, FL 33765-1339

Mailing address

1501 N Belcher Rd Ste 199
Clearwater, FL 33765-1339
Phone (727) 796-2498

Other identifiers 4

IdentifierTypeStateIssuer
2803GOtherFLHUMANA
10072OtherFLBCBS
622454OtherFLAETNA
68028OtherFLFACILITY

National Provider Directory

National Provider Directory

Locations

1501 N Belcher Rd
Ste 199
Clearwater, FL 33765
Phone (727) 796-2498

35095 US 19 N
Ste 201
Palm Harbor, FL 34684
Phone (727) 796-2498

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104925189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N BELCHER RD STE 199",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651339",
            "telephone_number": "727-796-2498",
            "fax_number": "727-797-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N BELCHER RD STE 199",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651339",
            "telephone_number": "727-796-2498",
            "fax_number": "727-797-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B MAZER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "727-796-2498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0028141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "2803G",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "622454",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY",
            "identifier": "68028",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.