DR. DANIEL MAZZA III (NPI# 1124102389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124102389 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MAZZA III |
| Credential | D.O. |
| Practice Address |
One Medical Center Drive Biddeford ME 04005 |
| Practice Telephone | 2072945050 |
| Mailing Telephone | 2072837000 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1112 | ME | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 10162 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30010895 | 05 | |
| ME | 1124102389 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972614527 | Daniel G Mazza | Dentist | 604 Railroad Ave, Winters, CA 95694-1729 | 2006-08-31 |
| Street Address |
ONE MEDICAL CENTER DRIVE |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154621076 | Mary Casey Murphy | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2010-10-26 |
| 1538393541 | Mark M Grohman | Hospitalist | One Medical Center Drive, Biddeford, ME 04005 | 2009-05-05 |
| 1780824300 | Jason M Aines | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2009-02-22 |
| 1184877839 | Jessica H Stevens | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2008-10-28 |
| 1952559908 | Kristy M Surprise | Nurse Practitioner | One Medical Center Drive, Biddeford, ME 04005 | 2008-09-03 |
| 1548417397 | John J Kurucz | Emergency Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2008-08-23 |
| 1659392819 | Mainehealth | Pharmacy | One Medical Center Drive, Biddeford, ME 04005-9422 | 2006-07-22 |
| 1366412488 | James E Longstaff | Preventive Medicine | One Medical Center Drive, Biddeford, ME 04005 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366731648 | Christian Basque | Family Medicine | 46 Barra Rd Ste 103, Biddeford, ME 04005-9461 | 2011-04-07 |
| 1922132091 | Gary Scott Winn | Family Medicine | 28 W Cole Rd # C, Biddeford, ME 04005-9428 | 2007-03-14 |
| 1962599399 | Cheryl B. Doane | Family Medicine | 11 Hill's Beach Rd., Biddeford, ME 04005 | 2006-10-06 |
| 1770551467 | Michelle Morgan | Family Medicine | 68 Graham St, Biddeford, ME 04005-3243 | 2006-03-09 |
| 1396730198 | Stephen Curtis Shannon | Family Medicine | 11 Hills Beach Rd, Unecom, Biddeford, ME 04005-9526 | 2005-09-18 |
| 1821641572 | Colleen Mckee | Family Medicine | 61 Barra Rd, Biddeford, ME 04005-9459 | 2019-07-22 |
| 1174758866 | Sara Jeanne Denning-bolle | Family Medicine | 61 Barra Rd, Biddeford, ME 04005-9459 | 2009-05-25 |
| 1407041619 | Providers Care Pa | Family Medicine | 28 W Cole Rd, Biddeford, ME 04005-9428 | 2007-09-11 |
| 1912074253 | Noreen M Sholl | Family Medicine | 4 Wellspring Rd, Biddeford, ME 04005-9401 | 2006-11-30 |
| 1942373733 | Su Anne Hammond | Family Medicine | 61 Barra Road, Biddeford, ME 04005 | 2006-11-17 |
| Find all providers in BIDDEFORD | ||||
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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.