NPIMap

Individual provider Active NPI

Paul A Mazanec, M.D.

  • Gastroenterology Physician
  • Greenville, SC
National Provider Identifier
1831171081
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
13954 Issued in SC
Practice address
125 Halton Rd Ste 200
Greenville, SC 29607-3507
Phone
(864) 232-7338
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 13954 SC Primary

Addresses

Primary practice location

125 Halton Rd Ste 200
Greenville, SC 29607-3507

Mailing address

PO Box 8676
Greenville, SC 29604-8676
Phone (864) 232-7338

Other identifiers 2

IdentifierTypeStateIssuer
1874OtherSCMEDICARE PTAN
PA1845MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000629 SC Practitioner - Gastroenterology 6507845245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, PAGroup PAC ID 1951215433, 57 clinicians

Practice addresses (Care Compare)

112 A Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 232-7338

125 Halton Rd
Suite 200
Greenville, SC 29607-3507
Phone (864) 232-7338

225 E Blackstock Rd
Spartanburg, SC 29301-2633
Phone (864) 232-7338

3424 Augusta Rd
Suite 200
Greenville, SC 29605-2150
Phone (864) 232-7338

Hospital & facility affiliations

  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Patewood Hospital Hospital, Greenville, SC, CCN 420102
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13954SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Mar 1, 2010 Accepting new patients
Piedmont Gastroneterology PA Gastroenterology Current Accepting new patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Mar 1, 2010 Accepting new patients
Gastroenterology Associates, PA Gastroenterology Past Accepting new patients

Locations

125 Halton Rd
Ste 200
Greenville, SC 29607

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

200 Patewood Dr
Ste B200
Greenville, SC 29615
Phone (864) 454-2226

3424 Augusta Rd
Ste 200
Greenville, SC 29605

317 Saint Francis Dr
Ste 170
Greenville, SC 29601
Phone (864) 255-1886

112A Hospital Dr
Simpsonville, SC 29681

Organizations & group practices 4

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.

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1831171081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8676",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296048676",
            "telephone_number": "864-232-7338",
            "fax_number": "864-239-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALTON RD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-232-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZANEC",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "13954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1874",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA1845",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.