MATHEW MAZOCH


Address: 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794
Phone: 2257660050

MATHEW MAZOCH (NPI# 1598055055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598055055
Entity Type Individual
Full Name MATHEW MAZOCH
Practice Address 7301 Hennessy Blvd Ste 200
Baton Rouge
LA 70808-4794
Mailing Address Po Box 98035
Baton Rouge
LA 70898-9035
Practice Telephone 2257660050
Practice Fax Number 2257661499
Mailing Telephone (225) 766-0050
Enumeration Date 2011-04-18
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
303962 LA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4301 W Markham St, Slot #783, Little Rock, AR 722057101 5016868000

Office Location

Street Address 7301 HENNESSY BLVD STE 200
City BATON ROUGE
State LA
Zip Code 70808-4794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376860148 Mark Tyson Garon Orthopaedic Surgery 7301 Hennessy Blvd Ste 200, Department of Orthopedics, Baton Rouge, LA 70808-4794 2010-05-03
1770191405 Claire Roethele Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2020-07-20
1780240747 Trevor Moll Physical Therapist 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2019-05-15
1588129324 Matthew Choice Specialist/Technologist 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2019-02-06
1912487000 Jerrica Elizabeth Watson Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2018-08-17
1447705835 Patrick Arcement Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2016-08-16
1083067235 Madison Bryant Corley Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2016-07-22
1912316613 Deborah Smith Nurse Practitioner 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2014-08-06
1831431626 Matthew Neumann Physical Medicine & Rehabilitation 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808 2013-03-20
1295025138 Julie Ann Neumann Orthopaedic Surgery 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2011-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313161 Leah Michelle Dlugolecki Student in an Organized Health Care Education/Training Program Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2020-03-31
1003376302 Kristina Pham Student in an Organized Health Care Education/Training Program 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 2019-03-22
1083174486 John Jay Hogan Student in an Organized Health Care Education/Training Program Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2019-03-21
1033682075 Joseph Bertell Davis Jr. Case Manager/Care Coordinator 2460 College Drive, Baton Rouge, LA 70808 2019-01-02
1508340886 Jennifer Miatech Student in an Organized Health Care Education/Training Program 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 2018-09-21
1700389137 Jenee Robins Case Manager/Care Coordinator 2100 College Dr Apt 159, Baton Rouge, LA 70808 2018-03-12
1952812893 Da Vonna Dents Behavioral Analyst 418 Stoney Creek Ave, Baton Rouge, LA 70808 2017-10-18
1962925669 Katharine Elizabeth Blum Counselor 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 2017-07-25
1801316120 Amie Jackson Social Worker 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 2017-06-27
1235660713 Melissa A Eddy-shelby Student in an Organized Health Care Education/Training Program 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 2017-03-25
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205925070 Ronald D. Sylvest Orthopaedic Surgery 7414 Picardy, Ste A, Baton Rouge, LA 70808 2006-10-12
1154876670 Orthobr LLC Orthopaedic Surgery 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 2016-08-25
1033425012 Louisiana Center for Orthopaedic & Sports Medicine Orthopaedic Surgery 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 2010-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003337478 Orthopaedic Clinic of Monroe Orthopaedic Surgery 309 Mcmillan Rd, West Monroe, LA 71291-5323 2017-07-06
1669926887 Kindl Works LLC Orthopaedic Surgery 1570 Lindberg Dr Ste 6, Slidell, LA 70458 2016-08-04
1033536529 David Leslie Orthopaedic Surgery 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 2014-03-24
1215290580 Paul Phillips Iv Orthopaedic Surgery 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 2012-06-20
1295938892 Michael Jesse Mcnulty Iv Orthopaedic Surgery 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 2007-06-09
1306823596 Wk North Orthopedic Clinic Orthopaedic Surgery 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 2005-12-28
1336144757 William S Bundrick Orthopaedic Surgery 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 2005-06-14
1013574961 Ochsner Clinic Foundation Orthopaedic Surgery 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 2019-05-28
1891216263 Orthopaedic Clinic of Monroe Orthopaedic Surgery 707 S Vienna St, Ruston, LA 71270-5845 2017-07-06
1114303443 Christopher Malone Orthopaedic Surgery 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 2015-08-10
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Competitor

Search similar providers

City BATON ROUGE
Zip Code 70808

Improve Information

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Dataset Information

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.

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