- Practice location
- 6847 N Chestnut St, Ravenna, OH 44266-3929
- Phone
- 330-493-4443
- Fax
- —
- Last updated
- September 11, 2024
Kenneth Roy Mazer is a Physician Assistant based in Ravenna, OH. Kenneth Roy Mazer practices in Ravenna, OH. The NPI Number for Kenneth Roy Mazer is 1558565929 and holds a License No. 50.003940RX (OH). The current practice location address for Kenneth Roy Mazer is 6847 N Chestnut St, Ravenna, OH 44266-3929 and can be reached out via phone at 330-493-4443.
Provider Profile Details
- NPI Number
- 1558565929
- Provider Name
- Kenneth Roy Mazer
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6847 N Chestnut St, Ravenna, OH 44266-3929
- Phone Number
- 330-493-4443
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2007
- Last Update Date
- September 11, 2024
- Certification Date
- September 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6847 N Chestnut St
Ravenna, OH 44266-3929 - City
- Ravenna
- State
- Ohio
- Zip
- 44266-3929
- Phone Number
- 330-493-4443
Provider Business Mailing Address Details
- Address
- 10930 Clay St
Montville, OH 44064-9702 - City
- Montville
- State
- OH
- Zip
- 44064-9702
License Information
- Taxonomy (1)
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- License Number (2)
- 50.003940RX
- License State (2)
- OH
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Ravenna, OH
View all Physician Assistants in Ravenna →Frequently Asked Questions
What is the NPI number of Mr. Kenneth R Mazer?
The NPI number of Mr. Kenneth R Mazer is 1558565929. It was assigned on June 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth R Mazer?
Mr. Kenneth R Mazer is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in OH under license number 50.003940RX.
Where does Mr. Kenneth R Mazer practice?
The practice location is 6847 N Chestnut St, Ravenna, OH 44266-3929. The office can be reached at 330-493-4443 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558565929 directly on the NPPES registry website.