Active NPI
Stephen B Mazer MD PA
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1104925189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0028141
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2803G | Other | FL | HUMANA |
| 10072 | Other | FL | BCBS |
| 622454 | Other | FL | AETNA |
| 68028 | Other | FL | FACILITY |
National Provider Directory
National Provider DirectoryLocations
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.