JESSICA L. MAZAITIS M.D. – NPI #1235422338
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JESSICA MAZAITIS is a physician located in BEND, OR. NPPES has assigned the NPI number 1235422338 to JESSICA MAZAITIS on May 23, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JESSICA LUNDY FORD. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Feb 04, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSICA MAZAITIS below.

NPI Profile for
JESSICA L. MAZAITIS

NPI Number
1235422338
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JESSICA L. MAZAITIS
Former Name: JESSICA LUNDY FORD
Credentials
M.D.
Primary location
61250 SE COOMBS PL
BEND, OR 97702
Phone: (541) 706-5935 Fax:
Mailing address
PO BOX 5579
BEND, OR 97708-5579
Phone: (541) 706-5935 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 04, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
OR MD175025

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.