MARSHALL A. MAZEPA M.D. – NPI #1174569354
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

MARSHALL MAZEPA is a physician located in MINNEAPOLIS, MN. NPPES has assigned the NPI number 1174569354 to MARSHALL MAZEPA on June 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 3 years ago on Jun 14, 2023. 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 MARSHALL MAZEPA below.

NPI Profile for
MARSHALL A. MAZEPA

NPI Number
1174569354
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARSHALL A. MAZEPA
Credentials
M.D.
Primary location
M HEALTH CENTER FOR BLEEDING AND CLOTTING DISORDERS
2512 S 7TH ST, SUITE 105
MINNEAPOLIS, MN 55454
Phone: (612) 273-5005 Fax:
Mailing address
UNIVERSITY OF MINNESOTA
420 DELAWARE ST SE, MAYO MAIL CODE 480
MINNEAPOLIS, MN 55455
Phone: (608) 215-0658 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 05, 2023

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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 NC 157749

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.

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 2006
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARSHALL MAZEPA is affiliated with the following medical group(s):
  • HOSPITAL
    • M HEALTH FAIRVIEW UNIVERSITY OF MN
      2450 RIVERSIDE AVENUE
      MINNEAPOLIS, MN 55454

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