Paul Mazzara (NPI# 1952415887, PAC ID# 6305824756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1952415887 |
| PAC ID by PECOS | 6305824756 |
| Professional Enrollment ID | I20040712000726 |
| Full Name | Paul Mazzara |
| Organization Legal Name | PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC |
| Address |
22101 Moross Rd Detroit MI 48236-2148 |
| Phone Number | 3133434000 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 6608848130 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | 3133434000 | PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC |
| Organization Legal Name | PATHOLOGY SPECIALISTS OF SOUTHEAST MICHIGAN PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel P Snower | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Lamia Fathallah | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Robert D Danforth Jr. | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Laurence E Briski | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Daniel M Ockner | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Basim M Al Khafaji | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Hong Qu | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Martha J Higgins | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Ian Jacob Anderson | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Michelle L Bonnett | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Street Address |
22101 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip | 48236-2148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Rana | Anesthesiology | St John Anesthesiologists, PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Daniel P Snower | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Omotara J Kufeji | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Chelsey Friedrichs | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Mamta Sharma | Infectious Disease | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Suzanne M Millican | Obstetrics/gynecology | Ascension St John Hospital | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Jeanne G Lewandowski | Pediatric Medicine | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Gary N Mason | Pain Management | St John Anesthesiologists, PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Magdalena M Sosnowski | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Shawndelin M Wilson | Physician Assistant | Observation Emergency Physicians PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Joanne English-mcmellon | Qualified Audiologist | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 | |
| Kelly A Zilli | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Lindsay Leigh Smith | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Dennis C Packey | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Wd, MI 48236-1356 | |
| Stephenie M Lucas | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Jennifer Kulinski | Nurse Practitioner | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Carlo E Adams | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Theresa M Oney | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Noemi Pac Villanueva | Physician Assistant | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Logan A Oney | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Find all physicians in zip 48236 | |||
| City | DETROIT |
| Zip Code | 48236 |
| Specialty | PATHOLOGY |
| City + Specialty | DETROIT + PATHOLOGY |
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| 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.