Joseph F Mazza Jr MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JOSEPH F MAZZA JR MD PA

Practice address

12640 Creekside LN
Fort Myers, FL 33919-3359

Phone

(239) 482-7676

Fax

(239) 482-7604

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Jospeh F Mazza Jr., MD

Title

President

Phone

(239) 482-7676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph F Mazza Jr., M.D.

  • Plastic Surgery Physician
  • Ft Myers, FL
  • NPI 1639148281
  Medicare reassignment Care Compare group NPD
• Davek Sharma, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Myers, FL
  • NPI 1255786943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1164664751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 CREEKSIDE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193359",
            "telephone_number": "239-482-7676",
            "fax_number": "239-482-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 CREEKSIDE LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193359",
            "telephone_number": "239-482-7676",
            "fax_number": "239-482-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH F MAZZA JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "MAZZA",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-482-7676",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jong Um DDS, Inc
• Sweta Jonnalagadda, M.D.
• Jeffrey Jordan, PA
• Kortney Jordan
• Nina T Jordania, MD
• Joseph Grillo DPM PA
• Joseph M Kukla DPM PA
• Joseph M Pusateri DPM PA
• Flobrenne Joseph-Spaulding, RN
• Bayonne Joseph, DDS

• Plastic Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.