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

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
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Practice location Address checks out

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