Theresa Ann Mazur

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052841 Issued in PA

Practice address

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703

Phone

(412) 469-7669

Fax

(412) 469-7689

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• JRMC Phys Serv Corp

  • Internal Medicine Physician
  • Jefferson Hills, PA
  • NPI 1154450179
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1922205012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18119",
            "address_2": "MOB 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152360119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 COAL VALLEY RD",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253703",
            "telephone_number": "412-469-7669",
            "fax_number": "412-469-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUR",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A. Marbella, CRNP
• Stefano Marozza, CRNA
• Carrie Frantz Marquis, CRNA
• Kelsey May, CRNP
• Carol Mayfield, CRNP
• Stacey C McBurney, CRNA
• Megan Rose McClain, MD
• Rebecca Jane McClaine, MD
• Lisa B McDermott, MS, RD, CDE, LDN
• Emily Paige McDowell, CRNA

• Physician Assistant in Jefferson Hills, PA
• Providers in Jefferson Hills, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.