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

Williard Mazhawidza, PA

Individual provider Physician Assistant · NPI 1477923084

Williard Mazhawidza, PA is a Physician Assistant in Crown Point, Indiana. Qualified in 2015, 11 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
11
Licensed in
IL, IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13738 Chase St
Crown Point, IN 46307-9774
Phone: (270) 244-3829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002653A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 085006594 (IL)

Record details

NPI number1477923084
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Saint Joseph Regional Medical Center Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Crown Point