John A Maze, REGISTERED NURSE

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

133500 Issued in MO

Practice address

25201 E. 78 Hwy
Building #5 Medical
Independence, MO 64056

Phone

(816) 695-4541

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1649873191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 STACEY DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640121832",
            "telephone_number": "816-352-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 E. 78 HWY",
            "address_2": "BUILDING #5 MEDICAL",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64056",
            "telephone_number": "816-695-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "MO",
            "license": "133500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Mattoni Jr., M.D.
• Rhonda Catherine Mattson, MOTR/L, CHT
• Aaliyah Maurice
• Stephanie Warren Mayer, NP
• Maywood Manor
• Ciarran McAvoy
• Kimberly McBride
• Madelyn McBride
• Amanda McClafferty
• Christy Anne McClain, PHYSCIAL THERAPIST

• Occupational Health Registered Nurse in Independence, MO
• Providers in Independence, MO by specialty
• Occupational Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.