Mr. Kenneth Roy Mazer
Mr. Kenneth Roy Mazer is a Physician Assistant in Ravenna, Ohio. Graduated from George Washington University School of Medicine in 2013, 13 years ago. Practices with University Hospitals Urgent Care, LLC, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 13
- Trained at
- George Washington University School of Medicine
- Licensed in
- OH
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
6847 N Chestnut StRavenna, OH 44266-3929
Phone: (330) 493-4443
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- Psc 814 Box 19, Fpo, AE 09865 — 011306972079805
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 50.003940RX (OH) |
|---|---|
| Independent Duty Corpsman | Taxonomy 1710I1002X |
Record details
| NPI number | 1558565929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | September 11, 2024 |
| Certification date | September 11, 2024 |
| Mailing address | 10930 Clay St, Montville, OH 44064-9702 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | University Hospitals Urgent Care, Llc — 107 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |