Active NPI
Julie M. Mazurek MD PC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Blue Springs, MO
National Provider Identifier
1730315797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- R7P70
- Legal business name
- JULIE M. MAZUREK MD PC
- Practice address
- 201 NW Rd Mize Rd
Blue Springs, MO 64014-2513 - Phone
- (816) 228-5900
- NPI assigned
- Jun 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie M Mazurek, MD
- Title
- MD Owner
- Phone
- (913) 234-1350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | R7P70 | MO | Primary |
Addresses
Primary practice location
201 NW Rd Mize Rd
Blue Springs, MO 64014-2513
Mailing address
PO Box 842832
Kansas City, MO 64184-0001
Phone (913) 234-1350
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730315797 | Medicaid | MO | |
| 42676018 | Other | MO | BCBS KC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1730315797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 842832",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641840001",
"telephone_number": "913-234-1350",
"fax_number": "913-234-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NW RD MIZE RD",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142513",
"telephone_number": "816-228-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE M. MAZUREK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "MAZUREK",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "913-234-1350",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "MO",
"license": "R7P70",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730315797",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "42676018",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.