MARINA YURIEVNA FLASKAS


Address: 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015
Phone: 9036067000

MARINA YURIEVNA FLASKAS (NPI# 1811048697) 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) 1811048697
Entity Type Individual
Full Name MARINA YURIEVNA FLASKAS
Credential MD
Practice Address 703 S Fleishel Ave
Ste 4000
Tyler
TX 75701-2015
Mailing Address Po Box 841656
Dallas
TX 75284-1656
Practice Telephone 9036067000
Mailing Telephone 9033246450
Enumeration Date 2007-01-16
Last Update Date 2014-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 23208 WV Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
N1319 TX Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
23208 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX TRICARE 75-0818167-015 01
TX BCBS 8ED335 01
TX 198507901 05
TX TRICARE TIN PLUS 029 01
TX TRICARE TIN PLUS 042 01
TX TRICARE 75-2616977-019 01
TX 198507902 05
TX BCBS OF TEXAS 8BC261 01
TX TRICARE TIN PLUS 001 01

Office Location

Street Address 703 S FLEISHEL AVE
STE 4000
City TYLER
State TX
Zip Code 75701-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467444141 Thomas R Scholler Physician Assistant 703 S Fleishel Ave, Tyler, TX 75701-2015 2005-08-18
1922641299 Marcus Evans Nurse Practitioner 703 S Fleishel Ave, Tyler, TX 75701-2015 2019-10-19
1144771288 Toby C Silvertooth Nurse Practitioner 703 S Fleishel Ave, Ste. 4000, Tyler, TX 75701-2015 2016-10-24
1649721366 Max T Tijerino Physician Assistant 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2016-10-18
1356892277 Christus Trinity Clinic - Cardiology Clinic/Center 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 2016-10-14
1891245734 Rene Richter General Acute Care Hospital 703 S Fleishel Ave, Suite 5000, Tyler, TX 75701-2015 2016-10-04
1578915633 Brandi L Holcomb Nurse Practitioner 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2016-07-12
1629454160 Jessica King Tidwell Nurse Practitioner 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 2015-08-06
1093030934 Ramon Kumar Internal Medicine 703 S Fleishel Ave, Ste 4000, Tyler, TX 75701-2015 2010-04-04
1639344310 Sheldon Ygnacio Freeberg Internal Medicine 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 2008-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003847716 Randy Craig Randall Internal Medicine 1783 Troup Highway, Tyler, TX 75701 2006-07-05
1396735122 Carl Noah Israel Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2005-10-24
1639164403 Peter Harald Langsjoen Internal Medicine 1107 Doctors Dr, Tyler, TX 75701-2124 2005-09-16
1285629501 Christopher Scott Boylan Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2005-09-13
1104471465 Scott A Wright, Md Internal Medicine 3219 E Grande Blvd, Tyler, TX 75707-1407 2019-08-05
1568751196 Pedro Manuel Calderon Artero Internal Medicine 703 S Fleishel Ave Ste 4000, Tyler, TX 75701 2011-04-05
1881995983 Aleksandr Korniyenko Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2010-11-06
1619114659 Rachel Devaney Internal Medicine 1783 Troup Hwy, Tyler, TX 75701-5869 2009-01-13
1194973701 Muhammad Marouf Chaudhry Internal Medicine 11937 Us Highway 271, Tyler, TX 75708-3154 2008-09-08
1174784904 Augustine Njoku Internal Medicine 2608 Mcdonald Rd, Tyler, TX 75701-5934 2008-06-24
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Competitor

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City TYLER
Zip Code 75701

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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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