Mary C Mazul, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

122697-032 Issued in WI

Practice address

5000 W Chambers St
St. Joseph Regional Medical Ctr-Women's Outpatient Ctr
Milwaukee, WI 53210-1650

Phone

(414) 447-2275

Fax

(414) 874-4045

NPI assigned

Jan 29, 2007

Last updated

Feb 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1528104536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W CHAMBERS ST",
            "address_2": "ST. JOSEPH REGIONAL MEDICAL CTR-WOMEN'S OUTPATIENT CTR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101650",
            "telephone_number": "414-447-2275",
            "fax_number": "414-874-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W CHAMBERS ST",
            "address_2": "ST. JOSEPH REGIONAL MEDICAL CTR-WOMEN'S OUTPATIENT CTR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101650",
            "telephone_number": "414-447-2275",
            "fax_number": "414-874-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUL",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WI",
            "license": "4774",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "122697-032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39905800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mays PNCC Services LLC
• Kenneth L Mays
• Lamaris Mays
• Katelyn Marie Ryan Mazeika, MSW, CAPSW, CBIS
• Sana Mazher, M.D
• Debesh Chandra Mazumdar, M.D.
• Samantha Fay Mazur, DNP, RN, CPNP-PC
• Anthony J Mazzeo, MD
• Mary Mazzeo, CAA
• Steven Mazzone, MD

• Advanced Practice Midwife in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Advanced Practice Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.