Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558565929 Individual Practitioner Male Practitioner

Kenneth Roy Mazer

Physician Assistant • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Kenneth Mazer is a registered healthcare professional specializing in Physician Assistant in Ravenna, OH. Practice services are available at 6847 N CHESTNUT ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6847 N Chestnut St

Ravenna, OH 442663929

Telephone 3304934443
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ravenna, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
8 Specialists

Practicing in Ravenna, OH (5376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
142 139 $1650.37 $141.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
127 116 $80.83 $6.42
99284 Emergency department visit with moderate level of medical decision making
100 97 $1122.20 $97.67
99283 Emergency department visit with low level of medical decision making
27 27 $589.41 $58.00

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.003940RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider - Independent Duty Corpsman

NUCC Taxonomy Code: 1710I1002X

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Secondary Practice Locations

Psc 814 Box 19

Fpo, AE 09865

Phone: 011306972079805

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Robert Canonico , DO

Emergency Medicine

NPI 1003956905

Doctor of Osteopathic Medicine (D.O.)

Dr. James Catalano , MD

Emergency Medicine

NPI 1003956996

Doctor of Medicine (M.D.)

Dr. Ian Jacobson , MD

Emergency Medicine

NPI 1013057900

Doctor of Medicine (M.D.)

Dr. Steven Markowitz , MD

Emergency Medicine

NPI 1013057918

Doctor of Medicine (M.D.)

Dr. Samuel Maryles , MD

Emergency Medicine

NPI 1013064591

Doctor of Medicine (M.D.)

Dr. Donald Mcgee , MD

Emergency Medicine

NPI 1013933092

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 6847 N CHESTNUT ST, RAVENNA, OH 442663929 (Tel: 3304934443)

📍
Updated Business Mailing Address September 11, 2024

Registered at 10930 CLAY ST, MONTVILLE, OH 440649702

NPI Profile Active April 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2008

Registered at PSC 814 BOX 19, FPO, AE 09865 (Tel: 011306972079805)

📍
Updated Business Mailing Address April 20, 2008

Registered at PSC 814 BOX 19, FPO, AE 09865 (Tel: 011306972079805)

👤
Provider Name / Credentials Updated April 20, 2008

Recorded as KENNETH MAZER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2008

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration June 12, 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: 1558565929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2007
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

10930 Clay St

Montville, OH 440649702

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.