Active NPI
Catherine Mazei, DO
- Family Medicine Physician
- Bangor, MI
National Provider Identifier
1245446046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015527
- Practice address
- 308 Charles St
Bangor, MI 49013-1317 - Phone
- (269) 427-7967
- Fax
- (269) 427-7574
- NPI assigned
- May 16, 2007
- Last updated
- Nov 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101015527 | MI | Primary |
Addresses
Primary practice location
308 Charles St
Bangor, MI 49013-1317
Mailing address
308 Charles St
Bangor, MI 49013-1317
Phone (269) 427-7967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00416397 | Other | MI | RR MEDICARE |
| 700B510850 | Other | MI | BCBS OF MI |
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015527 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Okemos, MI
- NPI 1972517845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1245446046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 CHARLES ST",
"city": "BANGOR",
"state": "MI",
"postal_code": "490131317",
"telephone_number": "269-427-7967",
"fax_number": "269-427-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 CHARLES ST",
"city": "BANGOR",
"state": "MI",
"postal_code": "490131317",
"telephone_number": "269-427-7967",
"fax_number": "269-427-7574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZEI",
"first_name": "CATHERINE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00416397",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "700B510850",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.