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Deactivated NPI 1063605566 Deactivated / Inactive NPI Male Practitioner

Dr. John Thomas Mazzeo , MD

Surgery • Independence, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Mazzeo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2007
NPI Deactivation Date November 13, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Mazzeo, MD was a registered Surgery practicing in Independence, LA. Throughout an active medical career spanning 10 years, Dr. Mazzeo provided care at the practice location at 52579 HIGHWAY 51 S until profile deactivation on 2017-11-13.

Practice Location & Contact Primary Location

Practice Address

52579 Highway 51 S

Independence, LA 704432231

Telephone 9858781573
Fax 9858781570
Associated Practice Facility / Clinic
🏢 Nes Louisiana, Inc. Facility NPI 1295717452

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Independence, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Independence, LA (474 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License LA 13128R

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Kathleen Willis , MD

Emergency Medicine

NPI 1063472140

Doctor of Medicine (M.D.)

Dr. Terry Jones , MD

Surgery - Vascular Surgery

NPI 1114913795

Doctor of Medicine (M.D.)

Dr. Mohammed Sheikh , MD

Internal Medicine - Geriatric Medicine

NPI 1144216961

Doctor of Medicine (M.D.)

NPI 1225283286

Registered Pharmacist

Dr. Tashawn Mustiful , MD

Internal Medicine

NPI 1265472054

Doctor of Medicine (M.D.)

Melissa Smith , APRN-CNP

Nurse Practitioner

NPI 1306733688

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2017

Record deactivated on November 13, 2017

NPI Profile Active August 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 20, 2007

Registered at 52579 HIGHWAY 51 S, INDEPENDENCE, LA 704432231 (Tel: 9858781573)

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Updated Business Mailing Address August 20, 2007

Registered at 52579 HIGHWAY 51 S, INDEPENDENCE, LA 704432231 (Tel: 9858781573)

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Provider Name / Credentials Updated August 20, 2007

Recorded as JOHN MAZZEO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2007

Surgery (License #13128R in LA)

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Initial NPI Registration & Enumeration August 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063605566
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: August 20, 2007
Deactivation Date: November 13, 2017

Mailing Address

52579 Highway 51 S

Independence, LA 704432231

Phone: 9858781573

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.