Zachary Mark Mashaw, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

304188 Issued in NY

Practice address

921 State St
Ogdensburg, NY 13669-3347

Phone

(315) 393-9268

Fax

(315) 393-3541

NPI assigned

Jun 4, 2018

Reactivated

Apr 26, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Family Practice

Education

State University of Ny Upstate Medical University, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lawrence CountyGroup PAC ID 9436249224, 2 clinicians

Ogdensburg Family Practice LLCGroup PAC ID 2365669249, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Health Services of Northern New York Inc Chha Home health agency, Potsdam, NY, CCN 337256
• Northern Lights Home Health Care Home health agency, Ogdensberg, NY, CCN 337442
• Hospice and Palliative Care of St Lawrence Valley Hospice, Potsdam, NY, CCN 331514
• Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
• Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
• River Hospital Clinics Hospital, Alexandria Bay, NY, CCN 331309
• The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
• Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary-mashaw@ogdensburgfamilypractice.e-mdsdirect.com

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.

• Ogdensburg Family Practice LLC

  • Family Medicine Physician
  • Ogdensburg, NY
  • NPI 1699183806
  Medicare reassignment Care Compare group NPD
• St Lawrence County

  • Multi-Specialty Clinic/Center
  • Canton, NY
  • NPI 1861551822
  Medicare reassignment Care Compare group NPD
• St Lawrence County

  • Community/Behavioral Health Agency
  • Canton, NY
  • NPI 1699898635
  NPD

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

• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Care Compare affiliation
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Ogdensburg, NY
  • NPI 1669236261
  Care Compare affiliation
• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699
  Care Compare affiliation
• Gouverneur Hospital

  • Critical Access Hospital
  • Gouverneur, NY
  • NPI 1629409925
  Care Compare affiliation
• Health Services of Northern New York

  • Home Health Agency
  • Potsdam, NY
  • NPI 1952407033
  Care Compare affiliation
• Hospice of St Lawrence Valley Inc

  • Community Based Hospice Care Agency
  • Potsdam, NY
  • NPI 1497758080
  Care Compare affiliation
• Northern Lights Health Care Partnership Inc

  • Home Health Agency
  • Canton, NY
  • NPI 1881037604
  Care Compare affiliation
• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Care Compare affiliation
• River Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Alexandria Bay, NY
  • NPI 1821022781
  Care Compare affiliation

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1912499146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693347",
            "telephone_number": "315-393-9268",
            "fax_number": "315-393-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 STATE ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693347",
            "telephone_number": "315-393-9268",
            "fax_number": "315-393-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHAW",
        "first_name": "ZACHARY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "deactivation_date": "2022-04-06",
        "reactivation_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "304188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zachary-mashaw@ogdensburgfamilypractice.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "ogdensburgfamilypractice.e-mdsdirect.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct mail",
            "address_1": "921 State St",
            "city": "Ogdensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136693347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Marie Martin, COTA
• Denise Martin
• Holly Martin, PMHNP
• Karen Ann Martin, LCSW
• Susan Martin, RN
• Danielle Mason
• Brittany Massey, RN
• Paige Laura Matthews
• Bethany W Matulewski, RN
• Max S Laguerre, MD PC

• Family Medicine Physician in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.