Provider Type Icon

DR. JOE MICHAEL MAZZOLINI MD NPI 1811908718


NPI Information

NPI: 1811908718
Provider Name: DR. JOE MICHAEL MAZZOLINI, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: YOUR GOOD HEALTH, LLC

PECOS Registration: Yes

Address:
1508 TOMBRAS AVE
CHATTANOOGA, TN
ZIP 37412
Phone: (423) 867-4969
Get Directions

DR. Joe Michael Mazzolini, MD is an adult medicine family medicine in Chattanooga, TN with 47 years of experience. The provider is definition to come. DR. Joe Michael Mazzolini, MD NPI is 1811908718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1977

The provider's business location address is:

1508 TOMBRAS AVE
CHATTANOOGA, TN
ZIP 37412-720
Phone: (423) 867-4969
Fax: (423) 867-4971

The NPI 1811908718 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/2/2015.


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
1207QA0505XFamily MedicineAdult MedicineMD0000018056TENNESSEEYes

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
1Q008885MEDICAIDTENNESSEE
26029072OTHERTENNESSEEBCBS OF TENNESSEE
310308I7836MEDICARE PINTENNESSEE
4A99182MEDICARE UPINTENNESSEE
53027981MEDICARE PINTENNESSEE

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: 11/14/2023

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.