MS. MARY S MAZANEC (NPI# 1003974585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003974585 |
| Entity Type | Individual |
| Full Name | MS. MARY S MAZANEC |
| Other Name | MARY S SULLIVAN |
| Credential | NP |
| Practice Address |
75 Washington Street Norwell MA 02061-9147 |
| Mailing Address |
75 Washington St Norwell MA 02061-1795 |
| Practice Telephone | 7818785200 |
| Practice Fax Number | 7818783989 |
| Mailing Telephone | 7818785200 |
| Mailing Fax Number | 7818783989 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
263381 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0710661 | 05 | |
| MA | FALLON | 121285 | 01 |
| MA | MEDICARE | NP5514 | 01 |
| MA | TRICARE | 042297845 | 01 |
| MULTI-PLAN | 042297845 | 01 | |
| MA | GREAT WEST HEALTH CARE | 042297845 | 01 |
| MA | PHCS | 042297845 | 01 |
| MA | BCBSMA | NP9628 | 01 |
| Street Address |
75 WASHINGTON STREET |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140579 | Veronica Vedensky | Internal Medicine | 75 Washington Street, Norwell, MA 02061-9147 | 2005-11-08 |
| 1417288903 | Hee Jin Esther Kim | Nutritionist | 75 Washington Street, South Shore Medical Center, Inc, Norwell, MA 02061-9147 | 2010-01-22 |
| 1821206293 | Christine D. Polcari | Pediatrics | 75 Washington Street, Norwell, MA 02061-9147 | 2007-05-18 |
| 1942313069 | Andrea Jean Miller | Nurse Practitioner | 75 Washington Street, Norwell, MA 02061-9147 | 2006-08-15 |
| 1275518730 | Satoko H Porter | Preventive Medicine | 75 Washington Street, Norwell, MA 02061-9147 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689940348 | Kimberly Anne Campbell | Nurse Practitioner | 141 Longwater Dr, Norwell, MA 02061-1632 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.