MARY L. MAZZA (NPI# 1609807031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609807031 |
| Entity Type | Individual |
| Full Name | MARY L. MAZZA |
| Credential | D.O. |
| Practice Address |
Banner Mesa Medical Center 1010 N. Country Club Drive Mesa AZ 85201-3309 |
| Mailing Address |
426 E Horseshoe Ave Gilbert AZ 85296-1702 |
| Practice Telephone | 4808341211 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 3464 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326322629 | Mary Ann Mazza | Licensed Practical Nurse | 1137 W 8th St, Erie, PA 16502-1110 | 2011-10-05 |
| 1194352450 | Mary Carol Mazza | Psychologist | 1 Park Ave Fl 8, New York, NY 10016-5802 | 2020-03-26 |
| 1134115645 | Mary Mazza | Nurse Practitioner | 4820 W Taft Rd, Suite 209, Liverpool, NY 13088-2800 | 2005-09-21 |
| Street Address |
BANNER MESA MEDICAL CENTER 1010 N. COUNTRY CLUB DRIVE |
| City | MESA |
| State | AZ |
| Zip Code | 85201-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679504013 | Robert Gary Brown | Emergency Medicine | Banner Mesa Medical Center, 1010 N. Country Club Drive, Mesa, AZ 85201 | 2006-07-05 |
| 1417987173 | Olin N. Vance | Emergency Medicine | Banner Mesa Medical Center, 1010 N. Country Club Drive, Mesa, AZ 85201-3309 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689889636 | Michael Steven Prescott | Emergency Medicine | 2747 E University Dr # 32016, Mesa, AZ 85213-8437 | 2007-05-13 |
| 1538371752 | Betty Hadji Momenian Dinarte | Emergency Medicine | 6644 E Baywood Avenue, Mesa, AZ 85206 | 2007-05-03 |
| 1164642963 | Mountain Vista Emergency Physicians | Emergency Medicine | 1301 South Crismon Rd, Emergency Department, Mesa, AZ 85209 | 2007-04-26 |
| 1194754341 | Scott H Gulbranson | Emergency Medicine | 9903 E Monterey Ave, Mesa, AZ 85209-2597 | 2006-07-01 |
| 1801824925 | Bruce Keith Adams | Emergency Medicine | Banner Baywood Medical Center, 6644 Baywood Avenue, Mesa, AZ 85253 | 2006-06-29 |
| 1427085141 | Robert Scott Orava | Emergency Medicine | 1660 S Alma School Rd, Mesa, AZ 85210-3069 | 2006-06-27 |
| 1962453514 | Emergency & Acute Care Medical Company - Az | Emergency Medicine | 1010 N Country Club Dr, Mesa, AZ 85201-3309 | 2006-05-16 |
| 1104889294 | Diane L. Elmore | Emergency Medicine | 450 N Dobson Rd Ste 108, Mesa, AZ 85201-5278 | 2006-04-10 |
| 1467432245 | Allan M Soo | Emergency Medicine | 1265 W Guadalupe Rd, Ste Nppes, Mesa, AZ 85202-9101 | 2006-01-18 |
| 1790762185 | Tracy J West | Emergency Medicine | 649 S 30th Cir, Mesa, AZ 85204-3119 | 2005-12-27 |
| Find all providers in MESA | ||||
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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.