JEFFREY A MAZZANTI (NPI# 1689613424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689613424 |
| Entity Type | Individual |
| Full Name | JEFFREY A MAZZANTI |
| Credential | D.P.M. |
| Practice Address |
1500 Associates Dr Dubuque IA 52002-2201 |
| Practice Telephone | 5635844420 |
| Practice Fax Number | 5635844295 |
| Mailing Telephone | 5635844100 |
| Mailing Fax Number | 5635844110 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 00385 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 033660 | 05 |
| Street Address |
1500 ASSOCIATES DR |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530271 | Tri-state Surgery Center, L.L.C. | Clinic/Center | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2005-07-05 |
| 1235757261 | Emily Burgmeier May | Nurse Practitioner | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-07-07 |
| 1104451673 | Emily Claire Kuhl | Occupational Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-03-05 |
| 1679105449 | Chelsea Leah Berry | Physician Assistant | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2020-02-10 |
| 1689212227 | Toni Marie Monat | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-12-13 |
| 1457905424 | Sara Elizabeth Croghan | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2019-07-29 |
| 1104356997 | Matthew Keith Kraciun | Family Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-14 |
| 1558890202 | Kristen Celeste Anderson | Pediatrics | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2017-06-07 |
| 1194279117 | Brittany Gosse | Physical Therapist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-08-08 |
| 1205280468 | Naomi Hasselblad | Internal Medicine | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2016-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437252335 | Theresa M Hughes | Podiatrist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-09-06 |
| 1114954013 | Steven P Schuck | Podiatrist | 909 Main St, Ste 350, Dubuque, IA 52001 | 2006-06-27 |
| 1164472783 | Tara Lynn Brock | Podiatrist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-05-12 |
| 1861442675 | Terry Lynn Boyle | Podiatrist | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744749 | Foot and Ankle Specialists of Ames, LLC | Podiatrist | 1606 S Duff Ave Ste 500, Ames, IA 50010-8156 | 2020-09-11 |
| 1659842045 | Iowa Foot Care Center LLC | Podiatrist | 217 Duff Ave Ste 2, Ames, IA 50010-6609 | 2018-12-10 |
| 1114417078 | Heartland Foot & Ankle Clinic PC | Podiatrist | 2850 Mount Pleasant St Ste 103, Burlington, IA 52601-2002 | 2018-05-16 |
| 1104316108 | Family Foot Care Clinic, PC | Podiatrist | 3200 F Avenue Nw, Cedar Rapids, IA 52405 | 2018-05-15 |
| 1952846321 | Swfac Plc | Podiatrist | 631 N. 8th St., Missouri Valley, IA 51555 | 2016-12-21 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1578946018 | Donald Godfree Jr. | Podiatrist | 3600 30th St Dept Of, Des Moines, IA 50310-5753 | 2015-07-01 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1760894323 | Drew Michael Davidson | Podiatrist | 255 Sw Brookside Dr, Ste 200, Grimes, IA 50111-5244 | 2014-05-29 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
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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.