Ward Tawfeek Mazyad

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MT221666 Issued in PA

Practice address

559 W Germantown Pike
East Norriton, PA 19403-4250

Phone

(484) 622-0959

NPI assigned

Apr 19, 2019

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 names 1

• Ward Tawfeek Mazyad Al Dabboos Other name

Medicare fee-for-service enrollment

Enrolled in PA, TX2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Radiology AssociatedGroup PAC ID 8022092451, 107 clinicians

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329
• Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
• Jefferson Einstein Philadelphia Hospital Hospital, Philadelphia, PA, CCN 390142
• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• Houston Radiology Associated

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1740228097

  PA

  Medicare reassignment Care Compare group NPD
• Einstein Practice Plan Inc

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1396703955
  NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD

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

• Einstein Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1366653818
  Care Compare affiliation Name & address match
• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1497871628
  Care Compare affiliation
• The Methodist Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1548387418
  Care Compare affiliation

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1629631114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034250",
            "telephone_number": "484-622-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZYAD",
        "first_name": "WARD",
        "middle_name": "TAWFEEK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT221666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WARD",
            "last_name": "AL DABBOOS",
            "middle_name": "TAWFEEK MAZYAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank William Marcantonio, PA-C
• Edward James Marines, DO
• Yvonne Martinez Thorne, ED.D.
• Jessica Lynn Matande, PA-C
• Ryan Joseph Mayo, MD
• Katharine Ann McClain, AU.D.
• Rachael Elizabeth McClure, CRNA
• Francis Xavier McCusker, MD
• Cara McDaniel, PHARMD
• Bernard Charles McDonnell, D.O.

• Diagnostic Radiology Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.