CARL A MAZZOLA (NPI# 1801967138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801967138 |
| Entity Type | Individual |
| Full Name | CARL A MAZZOLA |
| Credential | MD |
| Practice Address |
1715 Deer Tracks Trl Suite 130 Saint Louis MO 63131-1839 |
| Mailing Address |
232 S Woods Mill Rd Chesterfield MO 63017-3417 |
| Practice Telephone | 3148215600 |
| Practice Fax Number | 3148212180 |
| Mailing Telephone | 3142056100 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2004001466 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1715 DEER TRACKS TRL SUITE 130 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477521979 | Laurie D. Senol | Internal Medicine | 1715 Deer Tracks Trl, Suite 110, Saint Louis, MO 63131-1839 | 2006-03-09 |
| 1245692854 | Mary E Colizza | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2016-03-23 |
| 1417372723 | Susan Greenplate | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2014-02-24 |
| 1861745754 | Lauren Rebekah Gray Weir | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2012-10-17 |
| 1285998252 | Don Clair Weir IIi | Counselor | 1715 Deer Tracks Trl, Suite, 260, Saint Louis, MO 63131-1839 | 2012-06-25 |
| 1497040505 | David Stair | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2011-06-16 |
| 1437441037 | Brook Talsma | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2011-05-14 |
| 1437306156 | Abigail F Green | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2008-08-25 |
| 1649433566 | Sarah Jane Tilling | Obstetrics & Gynecology | 1715 Deer Tracks Trl, Ste 110, Saint Louis, MO 63131-1839 | 2008-07-10 |
| 1285811240 | Jennifer Vonier | Counselor | 1715 Deer Tracks Trl, Suite 260, Saint Louis, MO 63131-1839 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609130566 | Kristin Harris Drake | Radiology | 621 S New Ballas Rd Ste 23a, Saint Louis, MO 63141 | 2012-06-26 |
| 1093083016 | William G Crawford | Radiology | 61 Crestwood Dr, Saint Louis, MO 63105-3020 | 2011-12-05 |
| 1558657643 | Joseph Gary Livingston | Radiology | One Barnes-jewsih Hospital Plaza, Mailstop 90-09-355, Saint Louis, MO 63110 | 2011-06-27 |
| 1013219344 | Pure Imaging LLC | Radiology | 12345 West Bend Drive, Saint Louis, MO 63128-2104 | 2010-11-18 |
| 1881884658 | Zhengming Gu | Radiology | 9240 Radiom Dr, Saint Louis, MO 63123-5545 | 2007-07-27 |
| 1306057310 | Mohammed Ali Abbas | Radiology | 1402 S Grand Blvd Rm 260, Saint Louis, MO 63104-1004 | 2007-05-24 |
| 1104040963 | Saadoon Kadir | Radiology | 2909 Netherton Dr, Saint Louis, MO 63136-4677 | 2007-04-12 |
| 1376612739 | Carl Joseph Aschkenasi | Radiology | 898 Alanson Dr, Saint Louis, MO 63132-5039 | 2006-11-07 |
| 1629182829 | Jeffery A Hardy | Radiology | 2344 Hampton Ave, Saint Louis, MO 63139-2909 | 2006-08-18 |
| 1124132436 | Alfred D Shaplin | Radiology | 1034 S Brentwood Blvd Ste 280, Saint Louis, MO 63117-1221 | 2006-08-17 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
Please comment or provide details below to improve the information on CARL A MAZZOLA.
| 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.