Active NPI
Ashley Mazur, CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 696207
- Practice address
- 1300 Pennsylvania Ave
Fort Worth, TX 76104-2111 - Phone
- (972) 715-5007
- Fax
- (972) 715-5682
- NPI assigned
- Dec 23, 2008
- Last updated
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 696207 | TX | Primary |
Addresses
Primary practice location
1300 Pennsylvania Ave
Fort Worth, TX 76104-2111
Mailing address
PO Box 650426
Dallas, TX 75265-0426
Phone (972) 715-5007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081145 | Other | TX | CRNA CERTIFICATE |
| 696207 | Other | TX | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Bear Creek Pkwy
Keller, TX 76248-2500
Phone (817) 337-3671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 696207 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endo Sedation LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cowtown Anesthesia Serivces, L.L.P. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
6317 Harris Pkwy
Ste 100
Fort Worth, TX 76132
Phone (817) 332-6500
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
550 Reserve St
Ste 560
Southlake, TX 76092
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Keller, TX
- NPI 1588931174
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1942503818
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mesquite, TX
- NPI 1447792700
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Beaumont, TX
- NPI 1548817471
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1689810509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650426",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650426",
"telephone_number": "972-715-5007",
"fax_number": "972-715-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042111",
"telephone_number": "972-715-5007",
"fax_number": "972-715-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUR",
"first_name": "ASHLEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "696207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA CERTIFICATE",
"identifier": "081145",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "696207",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.