DR. MICHAEL L. MARIS (NPI# 1225104672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225104672 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL L. MARIS |
| Credential | M.D. |
| Practice Address |
9 Medical Parkway #105 Dallas TX 75234-7852 |
| Practice Telephone | 9722434530 |
| Practice Fax Number | 9724061950 |
| Mailing Telephone | 9722434530 |
| Mailing Fax Number | 9724061950 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | E4506 | TX | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
E4506 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | GROUP MEDICARE | 00D28C | 01 |
| TX | GROUP BCBS | D28C | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395624 | Michael Brian Maris | Internal Medicine | 1800 Williams St, Ste 300, Denver, CO 80218-1238 | 2005-12-06 |
| Street Address |
9 MEDICAL PARKWAY #105 |
| City | DALLAS |
| State | TX |
| Zip Code | 75234-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871877209 | Phuong-thao Kristy Chounlamany | Physician Assistant | 9 Medical Parkway, Plaza 4, Ste 306, Dallas, TX 75234 | 2011-10-04 |
| 1437225703 | Rebecca L. Euwer | Dermatology | 9 Medical Parkway, #105, Dallas, TX 75234-7852 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1124597232 | Caleb Poe | Physical Therapist | 1775 Wittington Place, Ste. #175, Dallas, TX 75234 | 2018-11-19 |
| 1043790298 | Joseph M Satterfield | Physical Therapist | 1775 Wittington Place Ste. #175, Dallas, TX 75234 | 2018-08-17 |
| 1023507621 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2702 Valwood Pkwy, Farmers Branch, TX 75234 | 2018-05-09 |
| 1821593385 | Farmers Branch Primary Care LLC | Family Medicine | 13000 Josey Lane Ste 100, Farmers Branch, TX 75234 | 2018-03-27 |
| 1487159349 | Kavitha Prasad | Dentist | 3030 Lbj Freeway, Suite 1400, Dallas, TX 75234 | 2018-03-23 |
| 1841793734 | Dedicated Hospice Care LLC | Hospice Care, Community Based | 2665 Villa Creek Dr #201, Dallas, TX 75234 | 2018-03-16 |
| 1811499387 | Lumincare Physician Group, Pa | Family Medicine | 2914 Valley View Lane, Farmers Branch, TX 75234 | 2018-03-01 |
| 1972014223 | Judith Johnson | Home Health Aide | 2828 Forest Ln Ste 1143, Dallas, TX 75234 | 2017-10-13 |
| 1780101642 | Godly Hospice and Palliative Care LLC | Hospice Care, Community Based | 2735 Villa Creek Dr Ste A260, Farmers Branch, TX 75234 | 2017-08-23 |
| Find all providers in zip 75234 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692468 | Westlake Dermatology, Pa | Dermatology | 7515 Greenville Ave Ste 1030, Dallas, TX 75231-3866 | 2019-07-26 |
| 1710465380 | Flora Kim Md Pllc | Dermatology | 4300 Macarthur Ave Ste 100, Dallas, TX 75209-6544 | 2018-08-05 |
| 1447619291 | Blackburn Woolfolk Dermatology, Pllc | Dermatology | 8200 Brookriver Dr Ste N705, Dallas, TX 75247-4052 | 2016-02-22 |
| 1376927707 | Isabel Mary Haugh | Dermatology | 2350 N Stemmons Fwy Ste 4200, Dallas, TX 75207-2700 | 2015-07-15 |
| 1245627082 | Darlene Erica Gou | Dermatology | 4605 Cedar Springs Rd Apt 233, Dallas, TX 75219-1369 | 2015-04-20 |
| 1275927162 | Era Caterina Murzaku | Dermatology | 8230 Walnut Hill Ln Ste 500, Dallas, TX 75231 | 2015-03-27 |
| 1104245505 | Shauna Eve Goldman | Dermatology | 2350 North Stemmons Freeway Suite 4200, Dallas, TX 75390-2045 | 2014-04-14 |
| 1609212158 | Janet Yiwen Li | Dermatology | 8210 Walnut Hill Rd., Prof Off Bldg 1 Ste. 810, Dallas, TX 75231 | 2013-05-10 |
| 1295179190 | Sivaramya Kollipara | Dermatology | 5445 La Sierra Dr Ste 102, Dallas, TX 75231-3464 | 2013-04-22 |
| 1780027052 | Elizabeth Wilder | Dermatology | 411 N Washington Ave Ste 1200, Dallas, TX 75246-1744 | 2013-04-16 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.