DR. DAVID TIMOTHY MAZUR (NPI# 1477579282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477579282 |
| Entity Type | Individual |
| Full Name | DR. DAVID TIMOTHY MAZUR |
| Credential | D.M.D. |
| Practice Address |
1607 Saint James Ct Tallahassee FL 32308-5352 |
| Practice Telephone | 8508780191 |
| Mailing Telephone | 8508780191 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS 020464-L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326041609 | David Owen Mazur | Ophthalmology | National Naval Medical Ctr, 8901 Wisconsin Avenue, Bethesda, MD 20889-0001 | 2005-05-31 |
| 1801942362 | David R Mazur | Optometrist | 500 Davison Rd, Lockport, NY 14094 | 2007-01-26 |
| 1134114895 | David Mazur | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3671 | 2005-09-19 |
| Street Address |
1607 SAINT JAMES CT |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914017 | Brady P. Hanlon | Optometrist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2005-10-05 |
| 1386260487 | Sarah Marie Anderson | Nurse Practitioner | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2020-06-24 |
| 1003394198 | Janine Jones | Nurse Practitioner | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2018-08-01 |
| 1548613722 | Liesl Amon | Optometrist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2016-07-22 |
| 1801276829 | Donnie Ray Johnson Jr. | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2015-06-04 |
| 1093104234 | Katina Jackson | Social Worker | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2015-01-12 |
| 1235569914 | Tania Theresa Mcmillan | Registered Nurse | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2013-11-18 |
| 1669810776 | Christina Mui Ngo | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2013-06-11 |
| 1033454178 | Tiffany Necole Thomas | Licensed Practical Nurse | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2012-11-30 |
| 1841534419 | Laurie Beth Pavlov | Dietitian, Registered | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2012-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285276 | Tally Dental, Pa | Dentist | 2418 Millcreek Ln # 3, Tallahassee, FL 32308-4368 | 2020-01-30 |
| 1992335715 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3715 Old Bradfordville Rd, Tallahassee, FL 32312-9501 | 2020-01-21 |
| 1912568114 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 2807 Capital Medical Blvd Ste A, Tallahassee, FL 32308-4438 | 2019-06-27 |
| 1326608662 | Sheref Gadalla | Dentist | 5442 Thomasville Rd Ste 1, Tallahassee, FL 32312-7598 | 2019-06-18 |
| 1699334300 | Calogero D'anna | Dentist | 960 Learning Way #3400, Tallahassee, FL 32306-0001 | 2019-06-07 |
| 1023531704 | Big Bend Cares, Inc. | Dentist | 2200 South Monroe St, Tallahassee, FL 32301-6303 | 2017-07-25 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1245687060 | Erin A Shiveler, Dmd Pllc | Dentist | 2027 Thomasville Rd Ste 101, Tallahassee, FL 32308-0752 | 2016-05-22 |
| 1831581693 | Chanelle Commedore | Dentist | 2700 Blairstone Rd Ste B, Tallahassee, FL 32301-5927 | 2015-03-03 |
| 1982029849 | Nancy E. Phillips | Dentist | 428 E College Ave, Tallahassee, FL 32301-1524 | 2014-02-28 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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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.