Individual provider Active NPI

Lisa A Mazoch, MD

  • Emergency Medicine Physician
  • Metairie, LA
National Provider Identifier
1861594178
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
021526 Issued in LA
Practice address
3223 8TH St
Metairie, LA 70002-1623
Phone
(504) 833-7770
Fax
(504) 833-7782
NPI assigned
Sep 5, 2006
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 021526 LA Primary

Addresses

Primary practice location

3223 8TH St
Metairie, LA 70002-1623

Mailing address

3223 8TH St
Metairie, LA 70002-1623
Phone (504) 833-7770

Other identifiers 1

IdentifierTypeStateIssuer
1682161MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000058 LA Practitioner - General SurgeryPractitioner - Emergency Medicine 8527018720 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbeville Emergency Group LLCGroup PAC ID 3375731185, 18 clinicians

Practice addresses (Care Compare)

118 N Hospital Dr
Abbeville, LA 70510-4039
Phone (337) 893-5466

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.36 of 100Reported as group
Quality
67.04
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021526LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evangeline Clinical Services, Inc. CurrentSince Nov 19, 2024 Accepting new patients
East Baton Rouge Emergency Physicians Group, LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jul 1, 1990 Accepting new patients
Abbeville Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Ed Physicians of West Louisiana, LLC Emergency Medicine Past Accepting new patients
Savoy Medical Management Group, Inc. Past Accepting new patients
C&M Medical Services-St Charles LLC Past Accepting new patients
C&M Medical Services-St Elizabeth LLC Past Accepting new patients
Ascension Emergency Physicians LLC Emergency Medicine PastSince Jan 8, 2023 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

3223 8th St
Metairie, LA 70002
Phone (504) 833-7770

3223 8th St
Fl 3
Metairie, LA 70002

3223 8th St
Fl Third
Metairie, LA 70002

3223 8th St
Ste 300
Metairie, LA 70002

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

59355 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4332

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1861594178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOCH",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "021526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1682161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.