Richard J Mazzei MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

010002 Issued in ME

Legal business name

RICHARD J MAZZEI MD PA

Practice address

77 Broadway
Bangor, ME 04401

Phone

(207) 947-2788

Fax

(207) 990-2545

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard J Mazzei, MDNPI 1598709297

Title

MD Owner

Phone

(207) 947-2788

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard J Mazzei, MD

  • Orthopaedic Surgery Physician
  • Bango, ME
  • NPI 1598709297
  Authorized official Same address or phone
• Carl R Cutshall, PA

  • Medical Physician Assistant
  • Bangor, ME
  • NPI 1932280559
  NPD (past)
• Sarah L Dingle, FNP-C

  • Family Nurse Practitioner
  • Rockport, ME
  • NPI 1730282385
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1346419843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-2788",
            "fax_number": "207-990-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-2788",
            "fax_number": "207-990-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J MAZZEI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "MAZZEI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "207-947-2788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "F0607063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "R030879",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "010002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100423",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "002154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Taylor Reynolds, PMHNP
• Emily Marie Rhodes, LCPC-C
• Aric Paul Rice
• Helen Virgina Rice, RNC BSN
• Mindy L. Rice, LCPC
• Amy Richard
• Andrea Richards, LCPC
• Carole Richards, PMHNP-BC MSN RN-BSN
• Jane Richards, OTR
• Megan Julia Richards, MD

• Orthopaedic Surgery Physician in Bangor, ME
• Providers in Bangor, ME by specialty
• Orthopaedic Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.