DR. MITCHELL J MAZUREK (NPI# 1043259328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043259328 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL J MAZUREK |
| Credential | MD |
| Practice Address |
1101 Glendale Blvd Valparaiso IN 46383-3767 |
| Practice Telephone | 2194642907 |
| Practice Fax Number | 2194621054 |
| Mailing Telephone | 2194642907 |
| Mailing Fax Number | 2194621054 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2014-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 01040686A | IN | Allopathic & Osteopathic Physicians |
| N | 225400000X | Rehabilitation Practitioner | 01040686A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100097710 | 05 |
| Street Address |
1101 GLENDALE BLVD |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957457 | Subba Rao Nagubadi | Urology | 1101 Glendale Blvd, Ste 111, Valparaiso, IN 46383-3767 | 2005-07-29 |
| 1720350846 | Marika Elaine Zandstra | Physical Therapist | 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 | 2012-02-06 |
| 1689990871 | Ambulatory Anesthesia of Northwest Indiana, LLC | Anesthesiology | 1101 Glendale Blvd, Suite 102, Valparaiso, IN 46383-3767 | 2010-04-13 |
| 1972829315 | Centers for Pain Management LLC | Pain Medicine | 1101 Glendale Blvd, Valparaiso, IN 46383-3767 | 2010-04-09 |
| 1417284878 | Kristina Lauren Scalzitti | Nurse Practitioner | 1101 Glendale Blvd, Ste. 110, Valparaiso, IN 46383-3767 | 2009-11-05 |
| 1831332766 | Norma Ivone Ramey | Internal Medicine | 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 | 2009-04-07 |
| 1457513285 | Dynamic Rehabilitation Services PC | Physical Therapist | 1101 Glendale Blvd, Suite 11, Valparaiso, IN 46383-3767 | 2008-07-02 |
| 1528230133 | Elizabeth Kristine Campbell | Pediatrics | 1101 Glendale Blvd, Ste. 101, Valparaiso, IN 46383-3767 | 2008-03-24 |
| 1639356025 | James Praveen Anthony | Internal Medicine | 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383-3767 | 2008-01-28 |
| 1871713578 | The Kobak Center for Women's Health,inc. | Specialist | 1101 Glendale Blvd, Suite 108, Valparaiso, IN 46383-3767 | 2007-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972998821 | Claymoth LLC | Physical Medicine & Rehabilitation | 1101 Cumberland Xing, Valparaiso, IN 46383-2356 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867351 | Bryson Platt | Physical Medicine & Rehabilitation | 1150 W 86th St, Indianapolis, IN 46260-2257 | 2020-10-05 |
| 1063037398 | Directed Rehabilitation Services | Physical Medicine & Rehabilitation | 6114 Bartley Dr, Noblesville, IN 46062-6490 | 2020-06-12 |
| 1912549189 | The Mvmt Institute | Physical Medicine & Rehabilitation | 3620 Paoli Pike Ste 1, Floyds Knobs, IN 47119-9787 | 2019-10-09 |
| 1437711785 | Jennifer Lynn Coffeen | Physical Medicine & Rehabilitation | 604 Legacy Plz W, La Porte, IN 46350-5268 | 2019-07-07 |
| 1326603234 | Ruth Galang Mashak | Physical Medicine & Rehabilitation | 3691 N Rhine Trl, La Porte, IN 46350-8403 | 2019-05-06 |
| 1184181331 | Regenerative Health Institute P.C. | Physical Medicine & Rehabilitation | 20 Executive Dr Ste A, Carmel, IN 46032-2988 | 2019-02-25 |
| 1992289524 | Andrea Nicole Nix | Physical Medicine & Rehabilitation | 8051 S Emerson Ave Ste 310, Indianapolis, IN 46237-8600 | 2018-09-19 |
| 1780133736 | Indiana Medical Examinations | Physical Medicine & Rehabilitation | 8005 Oaklandon Rd, Indianapolis, IN 46236-7931 | 2016-09-30 |
| 1457708364 | Jacob Lew Ramsey-morrow | Physical Medicine & Rehabilitation | 355 W 16th St Ste 4300, Indianapolis, IN 46202-2394 | 2016-05-20 |
| 1891157046 | Grenville Rio-john Fernandes | Physical Medicine & Rehabilitation | 6330 E 75th St Ste 110, Indianapolis, IN 46250-2717 | 2016-03-27 |
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| City | VALPARAISO |
| Zip Code | 46383 |
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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.