DR. MATYLDA MAZUR (NPI# 1104231315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104231315 |
| Entity Type | Individual |
| Full Name | DR. MATYLDA MAZUR |
| Credential | M.D. |
| Practice Address |
1 Medical Center Boulevard Wake Forest Baptist Medical Center Winston-salem NC 27103-0001 |
| Practice Telephone | 3367164305 |
| Mailing Telephone | 3367164305 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NC | Student, Health Care |
| Street Address |
1 MEDICAL CENTER BOULEVARD WAKE FOREST BAPTIST MEDICAL CENTER |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720598014 | Ronald Kyle Petersen | Nurse Anesthetist, Certified Registered | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2017-10-02 |
| 1083161632 | Amy Lynn Good | Nurse Anesthetist, Certified Registered | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2016-09-01 |
| 1174917165 | Charles Choi | Internal Medicine | 1 Medical Center Boulevard, Winston-salem, NC 27103 | 2015-03-27 |
| 1134481260 | Teresa Clements Cunningham | Student in an Organized Health Care Education/Training Program | 1 Medical Center Boulevard, Winston-salem, NC 21757 | 2012-06-14 |
| 1316189608 | Gavin Blair Gore | Radiology | 1 Medical Center Boulevard, Winston-salem, NC 27103-2705 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1255838116 | Taylor Brooks | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health Graduate Medical Education, Medical Center Boulevard Ground Flr Meads Hall Ste B, Winston-salem, NC 27157-0001 | 2018-04-08 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1497259675 | Joseph Hobson Gitt | Student in an Organized Health Care Education/Training Program | 1920 West First Street, Piedmont Plaza I, Winston-salem, NC 27157-1084 | 2018-03-21 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1548680366 | Thomas Elliott Pendergrast | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Medical Center Blvd., Winston-salem, NC 27157 | 2014-04-19 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DR. MATYLDA MAZUR.
| 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.