SUBHA MAZZONE (NPI# 1760757868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760757868 |
| Entity Type | Individual |
| Full Name | SUBHA MAZZONE |
| Credential | M.D. |
| Practice Address |
33 Whiting Hill Rd Suite 31 Brewer ME 04412 |
| Mailing Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 2079737478 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
ETL5425 | MA | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD22157 | ME | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
31514 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Longwood Ave, Boston, MA 021155724 | 6173556000 |
| Street Address |
33 WHITING HILL RD SUITE 31 |
| City | BREWER |
| State | ME |
| Zip Code | 04412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477538304 | Kurt Matthew Snyder | Radiology | 33 Whiting Hill Rd, Suite 1, Brewer, ME 04412-1021 | 2005-12-14 |
| 1649892571 | Alessandra Grace Guerin | Registered Nurse | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2020-05-14 |
| 1336703735 | Kaiden P Trask | Physician Assistant | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2019-05-01 |
| 1477047728 | Beatrice Ann Russell | Family Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2018-06-20 |
| 1235536319 | Northeast Radiation Oncology Pa | Radiology | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-12-04 |
| 1457760340 | Sriman Swarup | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-08-05 |
| 1629483409 | Hilal Hachem | Internal Medicine | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2014-06-30 |
| 1508206822 | Ellen A Arey | Nurse Practitioner | 33 Whiting Hill Rd, Suite 21, Brewer, ME 04412-1021 | 2013-07-01 |
| 1487999504 | Susan M Steele | Nurse Practitioner | 33 Whiting Hill Rd, Suite 33, Brewer, ME 04412-1021 | 2012-11-29 |
| 1528334406 | Chittalsinh M. Raulji | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2012-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528334406 | Chittalsinh M. Raulji | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2012-03-26 |
| 1134428899 | Daniel Lee Callaway | Pediatrics | 33 Whiting Hill Rd, Brewer, ME 04412-1021 | 2011-03-21 |
| 1366548935 | Sarah J Fryberger | Pediatrics | 33 Whiting Hill Rd, Suite 31, Brewer, ME 04412-1021 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992913255 | Stephen Blattner | Pediatrics | 17 Cole Field Rd, Cape Elizabeth, ME 04107-9676 | 2007-05-18 |
| 1780617175 | Hassan Dannawi | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-07-08 |
| 1013945708 | Aaron R Weiss | Pediatrics | 100 Campus Drive, Unit 107, Scarborough, ME 04074-9692 | 2006-06-29 |
| 1497782767 | Judith B Allen | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2006-06-26 |
| 1871549451 | Stanley Chaleff | Pediatrics | 100 Campus Dr, Unit 107, Scarborough, ME 04074-9692 | 2006-05-26 |
Please comment or provide details below to improve the information on SUBHA MAZZONE.
| 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.