DR. JON MAZURSKY (NPI# 1003830514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003830514 |
| Entity Type | Individual |
| Full Name | DR. JON MAZURSKY |
| Credential | M.D. |
| Practice Address |
1015 E 32nd St Suite #405 Austin TX 78705-2707 |
| Practice Telephone | 5124760895 |
| Practice Fax Number | 5124760898 |
| Mailing Telephone | 5124760895 |
| Mailing Fax Number | 5124760898 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
K1870 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1015 E 32ND ST SUITE #405 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78705-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164306 | Charles Bruce Malone IIi | Orthopaedic Surgery | 1015 E 32nd St, Ste 101, Austin, TX 78705-2700 | 2005-06-16 |
| 1710413554 | Ditto Surgical, Pllc | Surgery | 1015 E 32nd St, Suite 216, Austin, TX 78705-2707 | 2017-05-11 |
| 1336546282 | Alexandra Dezell | Nurse Practitioner | 1015 E 32nd St, Ste 203, Austin, TX 78705-2707 | 2014-11-20 |
| 1386050094 | New U Plastic Surgery | Plastic Surgery | 1015 E 32nd St, Ste. 205, Austin, TX 78705-2707 | 2014-07-02 |
| 1033552864 | U Gadaria Md Facs Pa | Plastic Surgery | 1015 E 32nd St, Suite 208, Austin, TX 78705-2707 | 2013-04-11 |
| 1942544218 | Bridget Petrowsky | Physician Assistant | 1015 E 32nd St, Ste 411, Austin, TX 78705-2707 | 2012-11-26 |
| 1962753947 | Britney Dann Knowlton | Physician Assistant | 1015 E 32nd St, 300, Austin, TX 78705-2707 | 2012-10-01 |
| 1376838094 | Sarah Ray | Clinical Nurse Specialist | 1015 E 32nd St, Suite 508, Austin, TX 78705-2707 | 2011-06-10 |
| 1902110653 | Adrienne Kathleen Flack | Nurse Practitioner | 1015 E 32nd St, Suite 203, Austin, TX 78705-2707 | 2010-08-04 |
| 1174837827 | Linda Ann Guy | Nurse Practitioner | 1015 E 32nd St, Suite 203, Austin, TX 78705-2707 | 2010-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
| 1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
| 1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
| 1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
| 1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
| 1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
| 1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
| 1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
| Find all providers in zip 78705 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780940940 | Harashada Luhar | Pediatrics | 4707 Circle Oak Cv, Austin, TX 78749-2302 | 2012-04-02 |
| 1427131259 | Katherine E Simon | Pediatrics | 4900 Mueller Blvd Rm 4b-062, Austin, TX 78723-3079 | 2006-10-23 |
| 1326063785 | Eric Chien-chih Su | Pediatrics | 1015 E 32nd St Ste 405, Austin, TX 78705-2701 | 2006-07-13 |
| 1609839240 | Michael John Christ | Pediatrics | 601 East 15th Street, L-502, Austin, TX 78701 | 2006-04-06 |
| 1316127814 | Jianzhong Ji | Pediatrics | 1201 W 38th St, Austin, TX 78705-1006 | 2007-11-13 |
| 1538368741 | Monica Rajesh Shah | Pediatrics | 3000 N Ih 35, Ste 770, Austin, TX 78705-1804 | 2007-07-17 |
| 1194873877 | Patrick James Hodges | Pediatrics | 1201 W 38th St, Austin, TX 78705-1006 | 2007-01-08 |
| 1053471342 | Jennifer Reilly Desireddi | Pediatrics | 3000 N Interstate 35, Suite 770, Austin, TX 78705-1804 | 2006-12-09 |
| 1427129998 | Vishwanath Gorpally Prabhu | Pediatrics | 1201 W 38th St, Austin, TX 78705-1006 | 2006-11-13 |
| 1467542746 | Kristy Herrman | Pediatrics | 1201 W 38th St, Neonatology Office 8th Floor, Austin, TX 78705 | 2006-10-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.