Active NPI
Mark J Mazur DPM
- Podiatrist
- Dublin, OH
National Provider Identifier
1932397163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark J Mazur, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2326450 | Medicaid | OH | |
| 480033771 | Other | OH | RAILROAD MEDICARE |
| DG1891 | Other | OH | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Columbus, OH
- NPI 1134122971
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.