Mark A Mazzare, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K3331 Issued in TX

Practice address

5380 Old Bullard Rd Ste 600-357
Tyler, TX 75703-3607

Phone

(888) 316-5498

Fax

(888) 979-6378

NPI assigned

Feb 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• DFW Hospitalists

  • Internal Medicine Physician
  • Trophy Club, TX
  • NPI 1316103757
  NPD (past)
• Hillcrest Family Health Center

  • Family Medicine Physician
  • Waco, TX
  • NPI 1891796694

  Internal Medicine

  NPD (past)
• Hillcrest Physician Services

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1649294323
  NPD (past)
• Scott & White Hospital - Taylor

  • Emergency Medicine Physician
  • Taylor, TX
  • NPI 1659366557
  NPD (past)
• True Medicine, PA

  • Internal Medicine Physician
  • Trophy Club, TX
  • NPI 1952550352
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1891769709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 OLD BULLARD RD STE 600-357",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033607",
            "telephone_number": "888-316-5498",
            "fax_number": "888-979-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 OLD BULLARD RD STE 600-357",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033607",
            "telephone_number": "888-316-5498",
            "fax_number": "888-979-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARE",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127039910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Mayhugh, RN
• Chrystal Mayo, LVN
• Hilay Jarman Mayo, SPEECH PATHOLOGIST
• Tera Mayo
• Mazzare Medical, PLLC
• Brenda Tsehainzu Mbipeh, PHARMD
• MC Medical LLC
• Natalie Kay McAbee, O.D.
• James D McAndrew, M.D.
• Deadra McArthur Jackson

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.