John P Mraz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD010067E Issued in PA

Practice address

4950 Tramarlac LN
Erie, PA 16505-1326

Phone

(814) 838-1711

Fax

(814) 833-5988

NPI assigned

Sep 15, 2009

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Erie Spine & Pain Center PC

  • Pain Medicine Physician
  • Erie, PA
  • NPI 1528732260
  NPD (past)
• Erie Spine and Pain Management PC

  • Interventional Pain Medicine Physician
  • Erie, PA
  • NPI 1922111764
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1659604205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 UHLMAN RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164152116",
            "telephone_number": "814-838-1711",
            "fax_number": "814-833-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 TRAMARLAC LN",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165051326",
            "telephone_number": "814-838-1711",
            "fax_number": "814-833-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRAZ",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD010067E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raed Mousa, MD
• Cara Ferguson Moutsos, FNP-C
• Ashley Moyak
• Heather Renee Mozdy, CNM, WHNP
• Lauren M Mozdy, MD
• Mrs Physical Therapy
• Daniel J Muccio, MD
• Ann Muczynski
• Erika Muhammad, AAB, BA, MA CPD, CLC
• Marium Mujahid

• Dermatology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.