DR. MARISA ELIAS


Address: 22777 W 11 Mile Rd, Southfield, MI 48033
Phone: 2483865200

DR. MARISA ELIAS (NPI# 1326422908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326422908
Entity Type Individual
Full Name DR. MARISA ELIAS
Other Name DR. MARISA CHANG
Credential M.D.
Practice Address 22777 W 11 Mile Rd
Southfield
MI 48033
Mailing Address 22777 W 11 Mile Rd
Southfield
MI 48033-2152
Practice Telephone 2483865200
Mailing Telephone 2483865200
Enumeration Date 2015-07-14
Last Update Date 2018-06-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 4301108364 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 22777 W 11 MILE RD
City SOUTHFIELD
State MI
Zip Code 48033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356435754 Henry Ford Health System Pharmacy 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2006-10-03
1043713647 Linda Jean Mahome Physical Therapist 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2018-03-10
1043732068 Brittany Michelle Schwanke Behavioral Analyst 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2017-07-11
1033669122 Jenny Wai-yin Lin Pharmacist 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2016-10-12
1811376577 Mariana Fraga I Behavioral Analyst 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2015-05-27
1013348051 Hfhs Center for Autism and Developmental Disabilities Clinic/Center 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2013-12-02
1134412679 Dina Faig Ibrahim Family Medicine 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2011-05-17
1477764272 Horace Horn II Pharmacist 22777 W 11 Mile Rd, Southfield, MI 48034-2152 2007-05-24
1831318849 Meloneze Renee Blackman Pharmacy Technician 22777 W 11 Mile Rd, Southfield, MI 48033-2152 2007-04-25
1952520462 Jonathan Victor Van Lare Pharmacist 22777 W 11 Mile Rd, Southfield, MI 48034-2152 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013531243 Kenicka Harper Case Manager/Care Coordinator 2270 W Nine Mile Rd, Detroit, MI 48033 2020-06-03
1154955292 Judy C Staples Registered Nurse 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 2020-02-27
1578193827 Axel Lee Gruenberg Peer Specialist 221790 West 9 Mile, Southfield, MI 48033 2020-01-24
1851958706 William Beaumont Hospital Clinic/Center 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 2019-05-28
1396302857 William Beaumont Hospital Clinic/Center Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 2019-05-21
1700442597 Botsford General Hospital Clinic/Center 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 2019-05-16
1558862433 Oakwood Accountable Care Organization, LLC Preferred Provider Organization 26901 Beaumont Blvd., Southfield, MI 48033 2018-02-26
1891228904 Brandi Becker-wright Social Worker 25200 Telegraph Rd Ste 100, Southfield, MI 48033 2017-04-05
1003362252 Mark Kline Registered Nurse 22170 W Nine Mile Rd, Southfield, MI 48033 2016-08-28
1033534797 Jessica Savageau Social Worker 22170 W 9 Mile, Southfield, MI 48033 2014-03-04
Find all providers in zip 48033

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598257768 El-abbadi Pediatric Clinic Pediatrics 24676 Lahser Road, Southfield, MI 48034 2018-06-04
1184993404 Hasan Hasaba Md Pllc Pediatrics 22255 Greenfield Rd Ste 320, Southfield, MI 48075-3729 2011-12-14
1235148222 Eliyahou Kam Pediatrics 22255 Greenfield Ste 128, Providence Pavilion, Southfield, MI 48075 2006-08-07
1932126752 Sarveswararao Talla Pediatrics 17356 W 12 Mile Rd, Suite 100, Southfield, MI 48076-2128 2006-07-16
1477537157 Amy E Youn Pediatrics 30503 Greenfield Rd, Southfield, MI 48076-1594 2005-12-06
1568460152 Marie-jeanne D Monde-matthews Pediatrics 29255 Northwestern Hwy, Suite 100, Southfield, MI 48034-1018 2005-07-08
1245859446 Vpa PC Pediatrics 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 2020-04-09
1669091864 Vpa PC Pediatrics 21540 W 11 Mile Rd Ste 200, Southfield, MI 48076-3843 2020-04-09
1902325384 Peace & Harmony Services LLC Pediatrics 17330 Northland Park Ct, Southfield, MI 48075-4318 2017-09-16
1962779124 Clara Teresa Vanscyoc Pediatrics 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 2011-11-16
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48033

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Dataset Information

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.

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