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

Marshall A. Mazepa, MD

Individual provider Hematology & Oncology Physician · NPI 1174569354

Marshall A. Mazepa, MD is a Hematology/Oncology in Minneapolis, Minnesota. Graduated from University of Wisconsin School of Medicine in 2006, 20 years ago. Practices with Fairview Express Care, a 1,964-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
20
Trained at
University of Wisconsin School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

M Health Center For Bleeding And Clotting Disorders 2512 S 7th St Ste 105
Minneapolis, MN 55454
Phone: (612) 273-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 157749 (NC)

Record details

NPI number1174569354
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJune 14, 2023
Certification dateJune 5, 2023
Mailing addressUniversity Of Minnesota, 420 Delaware St Se, Mayo Mail Code 480, Minneapolis, MN 55455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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