Organization Active NPI

Julie M. Mazurek MD PC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Blue Springs, MO
National Provider Identifier
1730315797
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
R7P70 Issued in MO
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

Updated by the provider on Aug 31, 2009

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)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1730315797MedicaidMO
42676018OtherMOBCBS KC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.