Active NPI
Kathleen Ann Mayzel, M.D.
- Surgery Physician
- Arlington, MA
National Provider Identifier
1336279934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 49398
- Practice address
- 39 Hathaway Cir
Arlington, MA 02476-7209 - Phone
- (781) 646-8976
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 49398 | MA | Primary |
Addresses
Primary practice location
39 Hathaway Cir
Arlington, MA 02476-7209
Mailing address
39 Hathaway Cir
Arlington, MA 02476-7209
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49398 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1336279934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 HATHAWAY CIR",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 HATHAWAY CIR",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024767209",
"telephone_number": "781-646-8976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYZEL",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "49398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.