Organization Active NPI

Mark J Mazur DPM

  • Podiatrist
  • Dublin, OH
National Provider Identifier
1932397163
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003150 Issued in OH
Legal business name
MARK J MAZUR DPM
Practice address
6942 Avery Rd.
Dublin, OH 43017-2874
Phone
(614) 793-0120
Fax
(614) 793-0120
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Dr. Mark J Mazur, DPMNPI 1134122971
Title
DPM/Owner
Phone
(614) 793-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36003150 OH Primary

Addresses

Primary practice location

6942 Avery Rd.
Dublin, OH 43017-2874

Mailing address

6942 Avery Rd.
Dublin, OH 43017-2874
Phone (614) 793-0120

Other identifiers 3

IdentifierTypeStateIssuer
2326450MedicaidOH
480033771OtherOHRAILROAD MEDICARE
DG1891OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3184 W Broad St
Columbus, OH 43204
Phone (614) 274-7448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1932397163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 AVERY RD.",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172874",
            "telephone_number": "614-793-0120",
            "fax_number": "614-793-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 AVERY RD.",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172874",
            "telephone_number": "614-793-0120",
            "fax_number": "614-793-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J MAZUR DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "614-793-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2326450",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480033771",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG1891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.