DR. JOHN D MAZZARELLA (NPI# 1780748319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780748319 |
| Entity Type | Individual |
| Full Name | DR. JOHN D MAZZARELLA |
| Credential | D.P.M. |
| Practice Address |
3033 Ogden Ave Ste 110 Lisle IL 60532-1976 |
| Practice Telephone | 6303553600 |
| Practice Fax Number | 6303553601 |
| Mailing Telephone | (630) 355-3600 |
| Mailing Fax Number | 6303553601 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
016004364 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801121223 | John A Mazzarella | Internal Medicine | 178 Gibbs Road, Orcas, WA 98280 | 2009-10-04 |
| Street Address |
3033 OGDEN AVE STE 110 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-1976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628057 | Dupage Health Specialists Sc | Obstetrics & Gynecology | 3033 Ogden Ave, Suite 300, Lisle, IL 60532-1673 | 2005-09-07 |
| 1710373550 | Lisle Family Dental Inc | Dentist | 3033 Ogden Ave, Suite 114, Lisle, IL 60532-1673 | 2015-04-08 |
| 1083002547 | Dupage Family Chiropractic PC | Chiropractor | 3033 Ogden Ave, Suite 112, Lisle, IL 60532-1673 | 2015-01-06 |
| 1861898165 | Michael Genslinger | Chiropractor | 3033 Ogden Ave, Suite 112, Lisle, IL 60532-1673 | 2014-11-13 |
| 1245650126 | George Jemison | Counselor | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2014-04-18 |
| 1124440474 | Monica Kannenwischer | Marriage & Family Therapist | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2014-01-06 |
| 1306277926 | Joel A. Bartlett | Counselor | 3033 Ogden Ave, Suite 210, Lisle, IL 60532-1673 | 2013-12-07 |
| 1366716425 | Dupage Health Specialist 2 LLC | Internal Medicine | 3033 Ogden Ave, Suite 101, Lisle, IL 60532-1673 | 2012-03-06 |
| 1962782052 | Edward Health Ventures | Internal Medicine | 3033 Ogden Ave, Ste 101, Lisle, IL 60532-1673 | 2011-08-22 |
| 1699099648 | Maliha Ammar Sayla | Obstetrics & Gynecology | 3033 Ogden Ave, Suite 300, Lisle, IL 60532-1673 | 2010-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588189419 | Oa Associates LLC | Orthopaedic Surgery | 200 Admiral Trost Rd, Columbia, IL 62236-2163 | 2017-08-11 |
| 1275829954 | Raymond R Montoya II | Orthopaedic Surgery | 259 E Erie St Ste 2230, Chicago, IL 60611-3370 | 2011-06-21 |
| 1497231518 | Saluja Kaushali Mahabamunuge | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-07-11 |
| 1528563483 | Christopher Cklamovski | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153 | 2018-03-24 |
| 1427505197 | Kelly Hynes | Orthopaedic Surgery | 5841 S Maryland Ave, Mc3079, Room P211m, Chicago, IL 60637-1447 | 2016-09-09 |
| 1417339995 | Kurt Krautmann | Orthopaedic Surgery | 251 E Huron St, Chicago, IL 60611-2908 | 2015-06-22 |
| 1972919702 | Jonathan L Hook | Orthopaedic Surgery | 2850 S Wabash Ave Ste 100, Chicago, IL 60616 | 2014-07-01 |
| 1659716751 | Gina Rose Cahill | Orthopaedic Surgery | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2013-05-02 |
| 1801181920 | Shaun Kink | Orthopaedic Surgery | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2011-06-16 |
| 1841501962 | Bryant Shane Ho | Orthopaedic Surgery | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2010-06-23 |
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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.