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Deactivated NPI 1013901503 Deactivated / Inactive NPI Female Practitioner

Dr. Jennifer Beth Mazer , MD

Pediatrics • Nacogdoches, TX

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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. Jennifer Mazer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2005
NPI Deactivation Date April 01, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Mazer, MD was a registered Pediatrics practicing in Nacogdoches, TX. Throughout an active medical career spanning 17 years, Dr. Mazer provided care at the practice location at 2714 N. UNIVERSITY DR. until profile deactivation on 2022-04-01.

Practice Location & Contact Primary Location

Practice Address

2714 N. University Dr.
Suite 100

Nacogdoches, TX 75965

Telephone 9365644446
Fax 9362059813
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Nacogdoches, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
11 Specialists

Practicing in Nacogdoches, TX (5841 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX L5043

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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 April 01, 2022

Record deactivated on April 01, 2022

NPI Profile Active September 18, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 18, 2012

Registered at 2714 N. UNIVERSITY DR., SUITE 100, NACOGDOCHES, TX 75965 (Tel: 9365644446)

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Updated Business Mailing Address September 18, 2012

Registered at 2714 N. UNIVERSITY DR., SUITE 100, NACOGDOCHES, TX 75965 (Tel: 9365644446)

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Provider Name / Credentials Updated September 18, 2012

Recorded as JENNIFER MAZER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2012

Pediatrics (License #L5043 in TX)

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Initial NPI Registration & Enumeration September 12, 2005

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: 1013901503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2005
Last Update: September 18, 2012
Deactivation Date: April 01, 2022

Mailing Address

2714 N. University Dr., Suite 100

Nacogdoches, TX 75965

Phone: 9365644446

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.