MARK V MAZZIOTTI MD NPI 1306809918

NPI Information

  • NPI: 1306809918
  • Provider Name: MARK V MAZZIOTTI, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 202 CONWAY DR STE 200
    KALISPELL, MT
    ZIP 59901
  • Phone: (406) 758-7490

Map and Directions

Get Directions

NPI Details

Mark V Mazziotti, MD is a pediatric surgery surgery in Kalispell, MT. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Mark V Mazziotti, MD NPI is 1306809918. 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:

202 CONWAY DR STE 200
KALISPELL, MT
ZIP 59901-153
Phone: (406) 758-7490
Fax: (406) 758-7080

The NPI 1306809918 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 4/7/2006 and was last updated on 9/8/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric SurgeryMED-PHYS-LIC-100462MONTANANo
22086S0120XSurgeryPediatric Surgery30540OKLAHOMANo
32086S0120XSurgeryPediatric SurgeryL2453TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200122410AMEDICAIDOKLAHOMA
2112545202MEDICAIDTEXAS
3154947902MEDICAIDTEXAS

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI