NPIMap

Organization Active NPI

Del Mazo Medical Services

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1396807798
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
014238 Issued in GA
Legal business name
DEL MAZO MEDICAL SERVICES
Practice address
550 Peachtree St NE
Suite 1035
Atlanta, GA 30308-2221
Phone
(404) 577-1112
Fax
(404) 557-1543
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Authorized official

Name
Arlene Del Mazo, R.N.
Title
Administrator
Phone
(404) 880-4201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 014238 GA Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 036741 GA
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 025728 GA

Addresses

Primary practice location

550 Peachtree St NE
Suite 1035
Atlanta, GA 30308-2221

Mailing address

550 Peachtree St NE
Suite 1035
Atlanta, GA 30308-2221
Phone (404) 577-1112

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1396807798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1035",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082221",
            "telephone_number": "404-577-1112",
            "fax_number": "404-577-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1035",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082221",
            "telephone_number": "404-577-1112",
            "fax_number": "404-557-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL MAZO MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "DEL MAZO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-880-4201",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "014238",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "036741",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "025728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.