MARILYN SUZANNE MIZE (NPI# 1467406645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467406645 |
| Entity Type | Individual |
| Full Name | MARILYN SUZANNE MIZE |
| Credential | M.D. |
| Practice Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 7404465002 |
| Practice Fax Number | 7404465883 |
| Mailing Telephone | 7404465002 |
| Mailing Fax Number | 7404465883 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13777 | WV | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35-047722 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MOUNTAIN STATE BCBS | 001714031 | 01 | |
| OH | UNISON MEDICAID | 000000185191 | 01 |
| OH | MOLINA MEDICAID | 0489716 | 01 |
| OH | CARESOURCE MEDICAID | 310917085035 | 01 |
| ANTHEM BCBS | 000000006897 | 01 | |
| WV | 0083707000 | 05 | |
| RR MEDICARE | 060018483 | 01 |
| Street Address |
90 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640662 | Charles D Crigger | Otolaryngology | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2005-06-22 |
| 1780299560 | Melissa Burris | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-09-09 |
| 1922524263 | Zachary Terrill | Pharmacist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-08-18 |
| 1366991622 | Holly Pope Petro | Pharmacist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2016-09-28 |
| 1922470798 | Chelsea Caldwell | Nurse Practitioner | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2015-10-20 |
| 1992105779 | Nona Canaday | Physical Therapist | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2014-08-28 |
| 1477982924 | Alexa Terry | Physician Assistant | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-11-05 |
| 1679900633 | Jane Ellen Mcgovern | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-10-04 |
| 1346677713 | Sarah E. Ramsburg | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-10-01 |
| 1871933564 | Jessica L. Willet | Dietitian, Registered | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
Please comment or provide details below to improve the information on MARILYN SUZANNE MIZE.
| 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.