Active NPI
Julianne M. Mazurek, MD
- Emergency Medicine Physician
- North Kansas City, MO
National Provider Identifier
1184617656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R7P70
- Practice address
- 2800 Clay Edwards Dr
North Kansas City, MO 64116-3220 - Phone
- (816) 346-7220
- Fax
- (816) 346-7242
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R7P70 | MO | Primary |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | R7P70 | MO |
Addresses
Primary practice location
2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Mailing address
PO Box 11157
Kansas City, MO 64119-0157
Phone (913) 234-1350
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203717210 | Medicaid | MO | |
| 930042005 | Other | RR MEDICARE GROUP CD1534 | |
| P00785266 | Other | MO | RR MEDICARE GROUP DP7386 |
| 17865079 | Other | MO | BCBS KC GROUP 42676018 |
| 17865069 | Other | MO | BCBS OF KC MO |
Other names 1
- Julie M. Mazurek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7P70 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyperbaric Oxygen of Kansas City Inc. | Undersea and Hyperbaric Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kansas City, MO
- NPI 1053401539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1184617656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11157",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641190157",
"telephone_number": "913-234-1350",
"fax_number": "913-234-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 CLAY EDWARDS DR",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163220",
"telephone_number": "816-346-7220",
"fax_number": "816-346-7242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUREK",
"first_name": "JULIANNE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R7P70",
"primary": true
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MO",
"license": "R7P70",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203717210",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CD1534",
"identifier": "930042005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP DP7386",
"identifier": "P00785266",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC GROUP 42676018",
"identifier": "17865079",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KC MO",
"identifier": "17865069",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "MAZUREK",
"middle_name": "M.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.