Individual provider Active NPI

Austin T Mazur, PA-C

  • Physician Assistant
  • Saginaw, MI
National Provider Identifier
1760109227
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601013536 Issued in MI
Practice address
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone
(989) 907-4382
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601013536 MI Primary
Physician Assistant 363A00000X C5-0011894 DE

Addresses

Primary practice location

1015 S Washington Ave
Saginaw, MI 48601-2556

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Other practice location 1

540 S Governors Ave Ste 101A
Dover, DE 19904-3530
Phone (302) 744-7980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607000467 DE Practitioner - Physician Assistant 5496112492 Reassigns benefits to 2 organizations
I20251112003738 MI Practitioner - Physician Assistant 5496112492 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601013536MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jan 1, 2026 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince May 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jan 1, 2026 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince May 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

540 S Governors Ave
Ste 101A
Dover, DE 19904
Phone (302) 744-7980

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2660 W Sugnet Rd
Midland, MI 48640
Phone (989) 488-5010

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, Inc 399 clinicians
Mymichigan Medical Center Saginaw 111 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364

1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 753-5300

640 S State St
Dover, DE 19901-3530

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1760109227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-907-4382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 S Governors Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043530",
            "country_code": "US",
            "telephone_number": "302-744-7980",
            "fax_number": "302-744-7989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "AUSTIN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013536",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011894",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.