Robert L Mazzola (NPI# 1629142898, PAC ID# 4284691437) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SLEEP MEDICINE.
| Nation Provider ID (NPI) | 1629142898 |
| PAC ID by PECOS | 4284691437 |
| Professional Enrollment ID | I20061227000365 |
| Full Name | Robert L Mazzola |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Address |
451 Bishop Federal Ln Salt Lake City UT 84115-2357 |
| Phone Number | 8014631309 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2008 |
| Primary Specialty | SLEEP MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 1850209420 |
| Number of Group Practice Members | 2290 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460010 | INTERMOUNTAIN MEDICAL CENTER |
| 460058 | RIVERTON HOSPITAL |
| 460006 | LDS HOSPITAL |
| 460057 | PARK CITY HOSPITAL |
| 460044 | ALTA VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 907 Platinum Ave, Cody, WY 82414 | 3075781985 | FRONTIER NEUROSCIENCES, LLC |
| 451 Bishop Federal Ln, Salt Lake City, UT 84115-2357 | 8014631309 | IHC HEALTH SERVICES INC |
| Organization Legal Name | IHC HEALTH SERVICES INC |
| Physicians | 2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ewa Anna Gniado | Internal Medicine | Ihc Health Services Inc | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3287 |
| Jennifer Christine Green | Nurse Practitioner | Ihc Health Services Inc | 3845 W 4700, Taylorsville, UT 84129-3454 |
| Logan M. Kupitz | Physician Assistant | Ihc Health Services Inc | 1750 Sidewater Dr, Park City, UT 84060-7570 |
| Patricia Maffei Grissom | Nurse Practitioner | Ihc Health Services Inc | 1915 W 5950, Roy, UT 84067-1454 |
| Daniel Noall Bennett | Cardiovascular Disease (cardiology) | Ihc Health Services Inc | 1175 E 50 S, 251 Afh Af Cardiology, American Fork, UT 84003-2850 |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Steven Earl Baum | Family Medicine | Ihc Health Services Inc | 962 Sage Dr, Cedar City, UT 84720-1885 |
| Michaela Karrin Johnson | Nurse Practitioner | Ihc Health Services Inc | 110 W 1325, Suite 100, Cedar City, UT 84721-8101 |
| Reid Joseph Leinart | Nurse Practitioner | Ihc Health Services Inc | 9660 S 1300, Sandy, UT 84094-3762 |
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Street Address |
451 BISHOP FEDERAL LN |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84115-2357 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill B Jones | Clinical Social Worker | 404 E 1700, Salt Lake City, UT 84115-1732 | |
| Mark M Mckell | Optometry | Salt Lake City Eye Care, LLC | 1818 S 300, Salt Lake City, UT 84115-1805 |
| Ryan Toone Barlow | Optometry | Salt Lake City Eye Care, LLC | 1818 S 300, Salt Lake City, UT 84115-1805 |
| Nathan R Green | Optometry | Nathan Green Od PC | 241 W 2100, South Salt Lake, UT 84115-1830 |
| Melanie Squire | Clinical Social Worker | 140 W 2100, Suite 244, Salt Lake City, UT 84115-1980 | |
| Esther Ewell | Clinical Social Worker | Military and Veteran Counseling Center LLC | 140 W 2100, Suite 244, Salt Lake City, UT 84115-1980 |
| Taylor R Krick | Chiropractic | 1860 S 300 W B, Salt Lake City, UT 84115-2198 | |
| Morgan C Galbraith | Nurse Practitioner | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Willy Mack Taylor | Physician Assistant | Successor Healthcare LLC | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 |
| Andrew Brice Heinecke | Nurse Practitioner | 451 E Bishop Federal Ln, Salt Lake City, UT 84115-2357 | |
| Find all physicians in zip 84115 | |||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
| Specialty | SLEEP MEDICINE |
| City + Specialty | SALT LAKE CITY + SLEEP MEDICINE |
Please comment or provide details below to improve the information on Robert L Mazzola.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.