Individual provider Active NPI

Maria E Mazorra, MD

  • Internal Medicine Physician
  • Bath, ME
National Provider Identifier
1942567359
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013266 Issued in ME
Practice address
700 Washington St
Bath, ME 04530-2574
Phone
(207) 442-4618
Fax
(207) 442-3386
NPI assigned
Apr 23, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013266MEMDInternal Medicine Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 013266 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

700 Washington St
Bath, ME 04530-2574

Mailing address

700 Washington St
Bath, ME 04530-2574
Phone (207) 442-4618

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2012.

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1942567359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302574",
            "telephone_number": "207-442-4618",
            "fax_number": "207-442-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302574",
            "telephone_number": "207-442-4618",
            "fax_number": "207-442-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZORRA",
        "first_name": "MARIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "013266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.