Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Mazenko

Individual provider Technician/Technologist · NPI 1659075802

Mark Mazenko is a Technician/Technologist in Madison, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

600 Rothwood Ave Apt B9
Madison, TN 37115-4936
Phone: (256) 527-8721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1659075802
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2023
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023
Mailing address600 Rothwood Ave Apt B9, Madison, TN 37115-4936