Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
RUSSELL F. MAZDA
Active
Individual
RUSSELL F. MAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004596L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010174790010
—
PA
01
—
0033070000
PERSONAL CHOICE/KHPE
PA
01
—
30021002
KEYSTONE MERCY HP
PA
01
—
457175
HIGHMARK BLUE SHIELD
PA
01
—
8821743
CIGNA HMO/PPO
PA
01
—
OS004596L
HEALTH PARTNERS
PA
Enumeration date
04/12/2006
Last updated
09/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up