JAMES MAZZUCA (NPI# 1295711216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295711216 |
| Entity Type | Individual |
| Full Name | JAMES MAZZUCA |
| Practice Address |
3900 Park Nicollet Blvd St Louis Park MN 55416-2503 |
| Mailing Address |
6465 Wayzata Blvd Suite 315 St Louis Park MN 55426-1728 |
| Practice Telephone | 9529932794 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 471 | MN | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3900 PARK NICOLLET BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447259395 | Ann Kolar Chinnakotla | Nurse Practitioner | 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 | 2005-07-21 |
| 1073980454 | Teresa Slepicka | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2015-09-01 |
| 1194113217 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2014-12-23 |
| 1164837373 | Erin Marie Sinkoff | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2505 | 2014-06-25 |
| 1477827236 | Christine Kroll | Optometrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2012-02-26 |
| 1306170808 | Jason Davis | Physician Assistant | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2009-09-30 |
| 1972837706 | Laura J Heinmiller | Ophthalmology | 3900 Park Nicollet Blvd, Suite 230, St Louis Park, MN 55416-2503 | 2009-09-26 |
| 1134389463 | Hans S Grinager | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2008-06-10 |
| 1407974561 | Jonathan Pribila | Ophthalmology | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2007-03-27 |
| 1487668919 | David Warren Pederson | Podiatrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487668919 | David Warren Pederson | Podiatrist | 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | 2006-07-28 |
| 1831163369 | John M Donohue | Podiatrist | 5100 Gamble Dr Ste 100, Mail Stop 31200a, St Louis Park, MN 55416-1588 | 2006-02-13 |
| 1598742389 | Stephanie M Sanders | Podiatrist | 3900 Park Nicollet Blvd, Park Nicollet Clinic - Slp, St Louis Park, MN 55416 | 2005-12-22 |
| 1114902780 | Stephen H Powless | Podiatrist | 3900 Park Nicollet Blvd, Park Nicollet Clinic Slp, St Louis Park, MN 55416 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1033553789 | Advanced Foot & Ankle Clinic LLP | Podiatrist | 633 1st St Se Ste 100, Faribault, MN 55021-6348 | 2013-04-24 |
| 1881963239 | Foot Care Across America, LLC | Podiatrist | 14654 Rhinestone Terrace, Ramsey, MN 55303-4923 | 2011-12-14 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1619261708 | Nathan D Sanders | Podiatrist | 404 West Fountain Street, Albert Lea, MN 56007-3920 | 2011-06-06 |
| 1427352087 | Doctors By Your Side | Podiatrist | 6600 Lyndale Av S, #120, Richfield, MN 55423-3398 | 2010-12-22 |
| 1154566396 | Sarah Phelps Whittaker | Podiatrist | 2221 Ford Parkway, Suite #350, Saint Paul, MN 55116-3837 | 2008-12-02 |
| 1568635969 | Bolcer Podiatry, Inc. | Podiatrist | 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 | 2008-04-07 |
| 1194846782 | Range Podiatric Care, Pa | Podiatrist | 809 N 6th Ave, Northgate Plaza, Virginia, MN 55792-2308 | 2007-04-02 |
| 1285779991 | John Tyler Garner | Podiatrist | 2302 Highway 53, Eveleth, MN 55734-8523 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on JAMES MAZZUCA.
| 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.