Edward J Mazdzer (NPI# 1043242431, PAC ID# 4880737014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1043242431 |
| PAC ID by PECOS | 4880737014 |
| Professional Enrollment ID | I20100210000112 |
| Full Name | Edward J Mazdzer |
| Organization Legal Name | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Address |
206 Cornelia St Suite 102 Plattsburgh NY 12901-2779 |
| Phone Number | 5185627700 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1980 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2769396878 |
| Number of Group Practice Members | 192 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 206 Cornelia St, Suite 102, Plattsburgh, NY 12901-2779 | 5185627700 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Organization Legal Name | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER |
| Physicians | 168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Henry | General Surgery | Champlain Valley Physicians Hospital Medical Center | 214 Cornelia St, Suite 102, Plattsburgh, NY 12901-2332 |
| Lindsey B Wilhelm | Family Medicine | Champlain Valley Physicians Hospital Medical Center | 159 Margaret St, Suite 100, Plattsburgh, NY 12901-1874 |
| Leo Grafstein | Urology | Champlain Valley Physicians Hospital Medical Center | 15 Degrandpre Way, Plattsburgh, NY 12901-6449 |
| Staci L Carter-kelly | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Ann M Watts | Registered Dietitian Or Nutrition Professional | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Deborah M Kampschror | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Jose M Acostamadiedo | Medical Oncology | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Daniel J Ackil | Emergency Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Andrei Cepoi | Internal Medicine | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Stacy A Comeau | Nurse Practitioner | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Street Address |
206 CORNELIA ST SUITE 102 |
| City | PLATTSBURGH |
| State | NY |
| Zip | 12901-2779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Hamel | Obstetrics/gynecology | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Jeffrey A Dodge | Obstetrics/gynecology | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Tiffani D Hughson | Certified Nurse Midwife (cnm) | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Honorio T Dispo | Physical Medicine and Rehabilitation | 206 Cornelia St, Suite 303, Plattsburgh, NY 12901-2779 | |
| Judith K Sessenwein | Nurse Practitioner | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Linda L Johnston | Certified Nurse Midwife (cnm) | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Sadaf N Mir | Pulmonary Disease | Champlain Valley Physicians Hospital Medical Center | 206 Cornelia St, Suite 307, Plattsburgh, NY 12901-2779 |
| Theodore S Pabst Iii | Vascular Surgery | 206 Cornelia St, Suite 104, Plattsburgh, NY 12901-2779 | |
| Jessica K Veltkamp | Obstetrics/gynecology | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Lena M Casamento | Nurse Practitioner | Lake Champlain Ob/gyn, PC | 206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Ambler | Internal Medicine | 128 Boynton Ave, Plattsburgh, NY 12901-1237 | |
| William N Pelton | Internal Medicine | 164 Boynton Ave, Suite 103, Plattsburgh, NY 12901-1241 | |
| Jacques Piche | Otolaryngology | 164 Boynton Ave, Suite 306, Plattsburgh, NY 12901-1241 | |
| Craig G Hurwitz | Nephrology | 52 Tom Miller Rd, Plattsburgh, NY 12901-1252 | |
| Sabieli Kabeli | Pulmonary Disease | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Lauren A Caniano | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| Cheryl A Kabeli | Nurse Practitioner | Adirondack Pulmonary and Sleep Medicine Pllc | 142 Boynton Ave, Suite A, Plattsburgh, NY 12901-1292 |
| David J Anderson | Family Medicine | 154 Prospect Ave, Plattsburgh, NY 12901-1302 | |
| Staci L Carter-kelly | Physician Assistant | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Ann M Watts | Registered Dietitian Or Nutrition Professional | Champlain Valley Physicians Hospital Medical Center | 75 Beekman St, Plattsburgh, NY 12901-1438 |
| Find all physicians in zip 12901 | |||
| City | PLATTSBURGH |
| Zip Code | 12901 |
| Specialty | NEUROLOGY |
| City + Specialty | PLATTSBURGH + NEUROLOGY |
Please comment or provide details below to improve the information on Edward J Mazdzer.
| 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.