Individual provider Active NPI

Michael Mauzy, DO

  • Family Medicine Physician
  • Saint Marys, WV
National Provider Identifier
1417933508
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1661 Issued in WV
Practice address
1861 N Pleasants Hwy # 101
Saint Marys, WV 26170-8511
Phone
(681) 612-1022
Fax
(304) 447-2556
NPI assigned
Dec 20, 2005
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.006811 OH
Family Medicine Physician 207Q00000X 1661 WV Primary

Addresses

Primary practice location

1861 N Pleasants Hwy # 101
Saint Marys, WV 26170-8511

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Other practice location 1

100 Fair St
Middlebourne, WV 26149-9525
Phone (304) 758-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michael.mauzy@mmhs.medicity.net
Direct Messaging Address michael.mauzy@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070326000009 WV Practitioner - Family Practice 5991809337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial Hospital of Tyler County IncGroup PAC ID 4385055342, shared by 7 NPIs, 17 clinicians

Practice addresses (Care Compare)

1861 N Pleasants Hwy
Saint Marys, WV 26170-8511
Phone (681) 612-1022

305 Clay St
Sistersville, WV 26175-1059
Phone (304) 447-2038

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1661WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Mar 3, 2025 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Jan 4, 2026 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Mar 3, 2025 Accepting new patients

Locations

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

100 Fair St
Middlebourne, WV 26149
Phone (304) 758-5000

1861 N Pleasants Hwy
#101
Saint Marys, WV 26170
Phone (681) 612-1022

305 Clay St
Sistersville, WV 26175
Phone (304) 447-2038

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

Interoperability endpoints

  • Direct secure messaging: mmauzy112852@direct.wvuhsdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1417933508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N PLEASANTS HWY # 101",
            "city": "SAINT MARYS",
            "state": "WV",
            "postal_code": "261708511",
            "telephone_number": "681-612-1022",
            "fax_number": "304-447-2556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Fair St",
            "address_purpose": "LOCATION",
            "city": "Middlebourne",
            "state": "WV",
            "postal_code": "261499525",
            "country_code": "US",
            "telephone_number": "304-758-5000",
            "fax_number": "304-758-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUZY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.006811",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.mauzy@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1861 N Pleasants Hwy # 101",
            "city": "Saint Marys",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261708511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.mauzy@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "100 Fair St",
            "city": "Middlebourne",
            "state": "WV",
            "country_code": "US",
            "postal_code": "26149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Marys, WV

Sources for this page

Verify at the official NPI Registry.