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DR. GARY BERNARD MAZZANTI M.D. NPI 1174629299


NPI Information

NPI: 1174629299
Provider Name: DR. GARY BERNARD MAZZANTI, M.D.
Classification: Emergency Medicine - 207PE0005X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

PECOS Registration: Yes

Address:
701 JORDAN ST
SUITE A
SHREVEPORT, LA
ZIP 71101
Phone: (318) 221-6700
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DR. Gary Bernard Mazzanti, M.D. is an undersea and hyperbaric medicine emergency medicine in Shreveport, LA with 38 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Gary Bernard Mazzanti, M.D. NPI is 1174629299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

701 JORDAN ST
SUITE A
SHREVEPORT, LA
ZIP 71101-660
Phone: (318) 221-6700
Fax: (318) 221-6701

The NPI 1174629299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/1/2009.


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
1207Q00000XFamily MedicineMD020779LOUISIANANo
2207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineMD020779LOUISIANAYes

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
11399256MEDICAIDLOUISIANA
25H633MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
3E38105MEDICARE UPINLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.