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DAVID MAZUR DO NPI 1134114895


NPI Information

NPI: 1134114895
Provider Name: DAVID MAZUR, DO
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Address:
1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (800) 968-6866
Get Directions

David Mazur, DO is a psychiatry psychiatry neurology in Grand Rapids, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. David Mazur, DO NPI is 1134114895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI
ZIP 49546-671
Phone: (800) 968-6866

The enumeration date for this NPI number is 9/19/2005 and was last updated on 9/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry5101009144MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P41930010MEDICARE OSCAR/CERTIFICATIONMICHIGAN
25410008MEDICARE PINMICHIGAN
3DM009144OTHERBLUE CROSS BLUE SHIELD
4F27410MEDICARE UPINMICHIGAN
53361580MEDICAIDMICHIGAN
60M38750MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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