Mark V Mazziotti (NPI# 1306809918, PAC ID# 6901805571) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1306809918 |
| PAC ID by PECOS | 6901805571 |
| Professional Enrollment ID | I20061207000484 |
| Full Name | Mark V Mazziotti |
| Organization Legal Name | TEXAS CHILDRENS PHYSICIAN GROUP |
| Address |
4015 22nd Pl Lubbock TX 79410-1119 |
| Phone Number | 8067250000 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4385722081 |
| Number of Group Practice Members | 247 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4015 22nd Pl, Lubbock, TX 79410-1119 | 8067250000 | TEXAS CHILDRENS PHYSICIAN GROUP |
| Organization Legal Name | TEXAS CHILDRENS PHYSICIAN GROUP |
| Physicians | 393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary D. Clark | Neurology | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Dalia M Moghazy | Obstetrics/gynecology | Texas Childrens Physician Group | 6651 Main St, Suite F320, Houston, TX 77030-2353 |
| Javier Chinen | Pediatric Medicine | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Ronald A Rauch | Diagnostic Radiology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Lauren S Blieden | Ophthalmology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| David E Zepeda | Obstetrics/gynecology | Texas Childrens Physician Group | 6651 Main St, Suite F320, Houston, TX 77030-2353 |
| Silvana M Molossi | Cardiovascular Disease (cardiology) | Texas Childrens Physician Group | 8611 N Mopac Expy, Austin Mopac Centre, Austin, TX 78759-8319 |
| Shweta Shah | Nephrology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Ayse Akcan Arikan | Critical Care (intensivists) | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Jennifer Dietrich | Obstetrics/gynecology | Texas Childrens Physician Group | 6701 Fannin St, Houston, TX 77030-2608 |
| Street Address |
4015 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary J Sullivan | Psychiatry | Texas Tech University Health Sciences Center Lubbock | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Yasin Ibrahim | Psychiatry | Texas Tech University Health Sciences Center Lubbock | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Mark Brennan Reimer | Obstetrics/gynecology | Obhg Texas Holdings Pa | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Anila R Ricks-cord | Obstetrics/gynecology | Obhg Texas Holdings Pa | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Jerry W Sinclair | Obstetrics/gynecology | Obhg Texas Holdings Pa | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Joanna L Burke | Obstetrics/gynecology | Obhg Texas Holdings Pa | 4015 22nd Pl, Lubbock, TX 79410-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LUBBOCK + GENERAL SURGERY |
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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.