RUSSELL F. MAZDA (D.O.) – Emergency Medicine Physician, NPI 1124082813

RUSSELL F. MAZDA (D.O.) is a healthcare provider. based in Lederach, Pennsylvania. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS004596L (PA). The NPI Number for RUSSELL F. MAZDA (D.O.) is 1124082813

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL F. MAZDA (D.O.)
NPI
1124082813
Phone
(800) 528-0006
Address
PO BOX 425
Enumeration Date
12 April 2006
Last Update Date
9 September 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2157859200
Graduation Year
1980 (46 years ago)
PAC ID
1153394572
Group Practice PAC ID
1850636572
Professional Enrollment ID
I20040814000153
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL F. MAZDA (D.O.)

  • PO BOX 425

    LEDERACH, PA 194500425

    Phone: (800) 528-0006

    Fax: (732) 349-6030

    Type: Mailing

  • Phoenixville Hospital, 140, Nutt Road, Phoenixville, Chester County, Pennsylvania, 19460, United States

    PHOENIXVILLE, PA 194603906

    Phone: (610) 983-1221

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850636572View full group profile

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Frequently asked questions

What is the 10-digit NPI for RUSSELL F. MAZDA (D.O.)?
RUSSELL F. MAZDA (D.O.) — NPI 1124082813 — is the standard way to identify this listing.
Does the file indicate RUSSELL F. MAZDA (D.O.) is practicing under active NPI?
Directory data currently reports RUSSELL F. MAZDA (D.O.) as active.
What is RUSSELL F. MAZDA (D.O.)'s specialty?
The listing groups RUSSELL F. MAZDA (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is RUSSELL F. MAZDA (D.O.) based?
RUSSELL F. MAZDA (D.O.) is tied to Lederach, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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