Kenneth R Mazer (NPI# 1558565929, PAC ID# 7315176435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1558565929 |
PAC ID by PECOS | 7315176435 |
Professional Enrollment ID | I20140212000191 |
Full Name | Kenneth R Mazer |
Organization Legal Name | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER |
Address |
3315 N Ridge Rd E Suite 700a Ashtabula OH 44004-4300 |
Phone Number | 4409920759 |
Gender | M |
Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2466475249 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360192 | UH GEAUGA MEDICAL CENTER |
361307 | UH GENEVA MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 | 4409920759 | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER |
13207 Ravenna Rd, Chardon, OH 44024-7032 | 4402856000 | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER |
Organization Legal Name | UNIVERSITY HOSPITALS GEAUGA MEDICAL CENTER |
Physicians | 13 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary D Depriest | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Jacquelyn R Mccloskey | Physician Assistant | University Hospitals Geauga Medical Center | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
Julie Stupi | Physician Assistant | University Hospitals Geauga Medical Center | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
Wendy Ann Young | Physician Assistant | University Hospitals Geauga Medical Center | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
Joseph Furlan | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Erica S Kaiser-geremia | Physician Assistant | University Hospitals Geauga Medical Center | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
Kelly A Gardner | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Joseph A Maclellan | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Reanna Francis | Nurse Practitioner | University Hospitals Geauga Medical Center | 13207 Ravenna Rd, Chardon, OH 44024-7032 |
Zorka B Gedeon | Nurse Practitioner | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Street Address |
3315 N RIDGE RD E SUITE 700A |
City | ASHTABULA |
State | OH |
Zip | 44004-4300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Zachary D Depriest | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Joseph Furlan | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Kelly A Gardner | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Joseph A Maclellan | Physician Assistant | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Sarah Lombardo | Qualified Audiologist | University Primary Care Practices Inc | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Zorka B Gedeon | Nurse Practitioner | University Hospitals Geauga Medical Center | 3315 N Ridge Rd E, Suite 700a, Ashtabula, OH 44004-4300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Orlando Antonio Dsilva | Nephrology | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
Tricia A Williams | Nurse Practitioner | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
Donald Raymond Farley | Podiatry | 1604 W 19th St, Ashtabula, OH 44004-3036 | |
Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Alicia Sue Angelo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Crystall L Weidle | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Heidi Marie Christensen | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Robyn Lynn Keaton | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Caitlin Marie Imhoff | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Tracy L Watson | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
Find all physicians in zip 44004 |
City | ASHTABULA |
Zip Code | 44004 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | ASHTABULA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kenneth R Mazer.
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.