DR. DOMINIC LOUIS MAZZA (NPI# 1265650063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265650063 |
| Entity Type | Individual |
| Full Name | DR. DOMINIC LOUIS MAZZA |
| Credential | M.D. |
| Practice Address |
398 Kennedy Dr Archbald PA 18403-1582 |
| Practice Telephone | 5708761663 |
| Practice Fax Number | 5708768223 |
| Mailing Telephone | 5708761663 |
| Mailing Fax Number | 5708768223 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
04318E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659516466 | Dominic Mazza | Chiropractor | 36 Lydia Dr, Guttenberg, NJ 07093-8366 | 2008-12-08 |
| Street Address |
398 KENNEDY DR |
| City | ARCHBALD |
| State | PA |
| Zip Code | 18403-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760860449 | Mary Beth Mecca | Nurse Practitioner | 940 Scranton Carbondale Highway, Eynon, PA 18403 | 2015-05-13 |
| 1730413139 | Nicole Marie Mcandrew | Physician Assistant | 681 Scranton Carbondale Highway, Eynon, PA 18403 | 2009-10-01 |
| 1679752281 | Anesthesiology Solution LLC | Anesthesiology | 681 Scrantono Carbondale Highway, Eynon, PA 18403 | 2007-10-31 |
| 1275651952 | Maryann Kathleen Decker | Optometrist | Pearle Vision 820 Scranton Carbondale Highway, Eynon Plaza, Eynon, PA 18403 | 2007-03-27 |
| 1003961723 | Icu2inc | Eyewear Supplier (Equipment, not the service) | Rte 6 Trap Plaza, Eynon, PA 18403 | 2007-01-24 |
| 1679576235 | Porter Limited | Durable Medical Equipment & Medical Supplies | Rear Trapp Plaza, Rte.#6, Scranton/carbondale Hwy., Archbald, PA 18403 | 2005-05-27 |
| 1114064235 | Roseanne E Nolan | Physician Assistant | 681 Scranton Carbondale Hwy, Eynon, PA 18403 | 2007-01-30 |
| 1669549325 | Peter J Krenitsky | Dentist | 696 Scranton Carbondale Hwy, Eynon, PA 18403-1004 | 2006-11-29 |
| 1225253388 | Century Dental Associates | Dentist | 696 Scranton Carbondale Hwy, Eynon, PA 18403-1004 | 2007-04-16 |
| 1083781751 | Jason J Hanyon | Dentist | 696 Scranton Carbondale Hwy, Eynon, PA 18403-1004 | 2006-11-29 |
| Find all providers in zip 18403 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891042651 | Psychiatry Today Inc. | Psychiatry & Neurology | 6 Dickinson Dr Ste 107, Chadds Ford, PA 19317-9689 | 2012-08-11 |
| 1407144892 | Morgan Faeder | Psychiatry & Neurology | 3520 5th Ave, Ground Floor, Upmc Wpic C&l, Pittsburgh, PA 15213 | 2011-07-19 |
| 1306051925 | Bernard James Dicasimirro | Psychiatry & Neurology | 825 Highland Ave, Morrisville, PA 19067-1073 | 2007-05-14 |
| 1912111899 | Kron Psychiatric Associates, PC | Psychiatry & Neurology | 337 Fishers Rd, Bryn Mawr, PA 19010-3603 | 2007-05-09 |
| 1871714337 | Lisa I Goldstein | Psychiatry & Neurology | 1062 Lancaster Avenue, Suite 11, Rosemont, PA 19010 | 2007-05-01 |
| 1902024516 | Gladys Susan Fenichel | Psychiatry & Neurology | 210 Kent Rd, Ardmore, PA 19003-3304 | 2007-04-22 |
| 1992124283 | Shelly Kucherer | Psychiatry & Neurology | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2014-04-15 |
| 1255643292 | Reading Psychiatry | Psychiatry & Neurology | 640 Walnut St, First Floor, Reading, PA 19601-3504 | 2010-07-07 |
| 1326288549 | Deborah A. Snyderman, M.d., LLC | Psychiatry & Neurology | 255 S 17th St, Suite 1801, Philadelphia, PA 19103-6231 | 2009-02-27 |
| 1952512808 | Yu Song Kao | Psychiatry & Neurology | 166 Hanover St, Wilkes Barre, PA 18702-3544 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
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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.