Richard K Maza MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME37253 Issued in FL

Legal business name

RICHARD K MAZA MD LLC

Practice address

3253 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2043

Phone

(727) 725-6170

Fax

(727) 799-3511

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Richard Kazdin Maza, MD

Title

Owner

Phone

(727) 725-6170

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1972646263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1491",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346971491",
            "telephone_number": "727-725-6170",
            "fax_number": "727-799-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 N MCMULLEN BOOTH RD",
            "address_2": "SUITE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612043",
            "telephone_number": "727-725-6170",
            "fax_number": "727-799-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD K MAZA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "MAZA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KAZDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-725-6170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME37253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "62280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayce Rhoden
• Eric Stephen Rhodes, PA-C
• Krista Rice
• Rich Lumazza Therapy, Inc.
• Shavonne Yolanda Rich, LMHC
• Ashley Richard
• Felicia Richards
• Gregory Paul Richards, ARNP
• Bradley Richardson, CRNA
• Charlene Richardson, MA, LMHC

• Internal Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.