Holly Mazur (NPI# 1295780617, PAC ID# 6901700327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295780617 |
| PAC ID by PECOS | 6901700327 |
| Professional Enrollment ID | I20180828003125 |
| Full Name | Holly Mazur |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Address |
168 Route 171 Woodstock CT 06281-3123 |
| Phone Number | 8609287775 |
| Gender | F |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557514411 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070003 | DAY KIMBALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 168 Route 171, Woodstock, CT 06281-3123 | 8609287775 | DAY KIMBALL MEDICAL GROUP INC |
| Organization Legal Name | DAY KIMBALL MEDICAL GROUP INC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca L Ladyka | Physician Assistant | Day Kimball Medical Group Inc | 132 Westminster Rd, Family Medicine Canterbury, Canterbury, CT 06331-1454 |
| Gerald B Sullivan | Family Medicine | Day Kimball Medical Group Inc | 7 Kennedy Dr, Putnam, CT 06260-1939 |
| Robert D Mccallum | General Surgery | Day Kimball Medical Group Inc | 346 Pomfret St, Putnam, CT 06260-1871 |
| Timothy Monahan | Dermatology | Day Kimball Medical Group Inc | 55 Green Hollow Rd, Danielson, CT 06239-3533 |
| Andrew Mackenzie | Obstetrics/gynecology | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Paul J Matty | Internal Medicine | Day Kimball Medical Group Inc | 612 Hartford Pike, Dayville, CT 06241-2159 |
| Kimberly J Lane | Certified Clinical Nurse Specialist (cns) | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Alexandra Nicole Lopez | Nurse Practitioner | Day Kimball Medical Group Inc | 45 Green Hollow Rd, Danielson, CT 06239-3509 |
| Ronald J Franzino | General Surgery | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Julie Van Saun | Physician Assistant | Day Kimball Medical Group Inc | 320 Pomfret St, Putnam, CT 06260-1836 |
| Street Address |
168 ROUTE 171 |
| City | WOODSTOCK |
| State | CT |
| Zip | 06281-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail L Dickinson | Internal Medicine | Day Kimball Medical Group Inc | 168 Route 171, Woodstock, CT 06281-3123 |
| Ellen Salurand | Neurology | Day Kimball Medical Group Inc | 168 Route 171, Woodstock, CT 06281-3123 |
| Ronald W Klare | Internal Medicine | Day Kimball Medical Group Inc | 168 Route 171, Woodstock, CT 06281-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Shevin | General Practice | 50 Applewood Dr, Woodstock, CT 06281-2304 | |
| Rose Kihara | Family Medicine | 39 Route 171, Woodstock, CT 06281-3126 |
| City | WOODSTOCK |
| Zip Code | 06281 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WOODSTOCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Holly Mazur.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.