MARTIN M MROZEK DPM PROFFESSIONAL


Address: 27 Parsons Lane, Fayetteville, WV 25840-0957
Phone: 3045742310

MARTIN M MROZEK DPM PROFFESSIONAL (NPI# 1184667396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184667396
Entity Type Organization
Organization Name MARTIN M MROZEK DPM PROFFESSIONAL
Practice Address 27 Parsons Lane
Fayetteville
WV 25840-0957
Mailing Address Po Box 957
Fayetteville
WV 25840-0957
Practice Telephone 3045742310
Practice Fax Number 3045742311
Mailing Telephone 3045742310
Mailing Fax Number 3045742311
Enumeration Date 2006-06-14
Last Update Date 2009-09-09
Authorized Official Name MARTIN M MROZEK (OWNER)
Authorized Official Telephone 3045742310
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist 00282 WV Podiatric Medicine & Surgery Service Providers
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
00282 WV Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV CARELINK 223203 01
WV RAILROAD MEDICARE DD8123 01
WV MOUNTAIN STATE BC BS 001721892 01
WV 0099788000 05

Office Location

Street Address 27 PARSONS LANE
City FAYETTEVILLE
State WV
Zip Code 25840-0957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437119856 Martin M Mrozek Podiatrist 27 Parsons Lane, Fayetteville, WV 25840-0957 2006-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447766639 Nancy Carol Myles Technician 171 Wood Rd, Fayetteville, WV 25840 2017-12-26
1598933954 Kembra Anne Crist Registered Nurse 111 Fayette Avenue, Fayette County Boe, Fayetteville, WV 25840 2008-02-19
1003004854 Edward Lee Winter Psychologist 111 Fayette Ave., Fayette County Schools, Fayetteville, WV 25840 2007-10-05
1811109432 Anita Louise Swanson Physical Therapist 111 Fayette Ave, Fayetteville, WV 25840 2007-05-04
1003964008 Krista L Copenhaver-mackowiak Nurse Anesthetist, Certified Registered 613 Crooked Run Rd, Fayetteville, WV 25840 2007-01-08
1922171024 Carl Arthur Hansen Dentist 215 North Court St, Fayetteville, WV 25840 2006-11-16
1932202447 Appalachian Regional Healthcare Clinic/Center 436 Elizabeth Way, Fayetteville, WV 25840 2006-09-07
1154424810 West Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 72 Whitewater Ave, Fayetteville, WV 25840 2006-09-07
1447241310 Karen L. Pettry-hultman Family Medicine Rr 3 Box 9, Fayetteville, WV 25840 2005-10-31
1598125577 Jeanne Black Registered Nurse 111 Fayette Avenue, Fayette County Schools, Fayetteville, WV 25840 2016-03-03
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609288984 Aaron Teufel Podiatrist 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703 2014-05-21
1073852786 Ankle and Foot Clinic of Georgia, Inc. Podiatrist 730 Lanier Ave W, Fayetteville, GA 30214-1509 2013-02-01
1841597499 American Foot & Leg Specialists, P.C. Podiatrist 122 N Park Dr, Fayetteville, GA 30214 2011-02-17
1821132424 Fayetteville Foot and Ankle Center Podiatrist 503 Owen Dr, Fayetteville, NC 28304-3433 2007-02-16
1861496754 Gregory Alvarez Podiatrist 265 N Jeff Davis Dr, Fayetteville, GA 30214-1625 2005-06-08
1619533692 Arkansas Foot & Ankle Specialists Podiatrist 1794 E Joyce Blvd Ste 2, Fayetteville, AR 72703-5257 2019-05-15
1376906735 Hughey Colton Carter Podiatrist 1738 Metromedical Dr, Fayetteville, NC 28304 2016-04-03
1710256003 Ozark Foot & Ankle Plc Podiatrist 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703-6514 2011-12-15
1508155037 Easy Walk Foot Clinic LLC Podiatrist 101 Beckett Ln, Suite 104, Fayetteville, GA 30214-7155 2011-04-05
1972827988 Roberto Bermudez Podiatrist 1738 Metromedical Dr, Fayetteville, NC 28304-3861 2010-03-19
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Competitor

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City FAYETTEVILLE
Zip Code 25840

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Dataset Information

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.

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