DR. MICHAEL JUSTIN MARINO (NPI# 1134428790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134428790 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JUSTIN MARINO |
| Credential | MD |
| Practice Address |
5777 E Mayo Blvd Phoenix AZ 85054-4502 |
| Mailing Address |
13400 E Shea Blvd Scottsdale AZ 85259-5452 |
| Practice Telephone | 4803108000 |
| Mailing Telephone | 4803018000 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 54246 | AZ | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | Q5862 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6400 Fannin St, Suite 2700, Houston, TX 770301521 | 7135005410 | 7133833727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780933523 | Michael S Marino | Hearing Instrument Specialist | 2151 Bluestone Dr, Saint Charles, MO 63303-6704 | 2012-09-07 |
| 1215030093 | Michael F. Marino | Psychologist | 1305 Middle Country Rd, Suite 7, Selden, NY 11784-2554 | 2006-09-06 |
| 1326097601 | Michael Marino | Optometrist | 113 Salem Towne Ct, Apex, NC 27502-2311 | 2006-05-06 |
| 1699742692 | Michael A Marino | Chiropractor | 156 Titan Dr., Florence, AL 35630 | 2006-03-08 |
| 1699775692 | Michael Marino | Pediatrics | 731 S Highland Ave, Fullerton, CA 92832-2753 | 2005-08-01 |
| 1508494378 | Michael Marino | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2020-03-29 |
| 1639650609 | Michael Vincent Marino | Counselor | 15 W Prospect St, East Brunswick, NJ 08816 | 2018-08-27 |
| 1639541576 | Michael Marino | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-10-29 |
| 1285989764 | Michael George Marino | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1801 | 2012-07-19 |
| 1316265028 | Michael Marino | Anesthesiology | 1611 Nw 12th Ave, South Wing, 3rd Floor, #303, Miami, FL 33136-1005 | 2010-05-06 |
| Street Address |
5777 E MAYO BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85054-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283878 | Charles J Manak | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054 | 2005-05-23 |
| 1871194563 | Courtney Comstock | Nurse Practitioner | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-11-08 |
| 1740819796 | Daniel Alan Salevitz | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1417586413 | Phylicia Dzifa Gawu | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-02 |
| 1083242283 | Ashley Swan | Physician Assistant | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-04-01 |
| 1659909612 | Puneet Raman | Internal Medicine | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-27 |
| 1609403336 | Mary E Quense | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-24 |
| 1942836473 | Aditya Khurana | Student in an Organized Health Care Education/Training Program | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-03-16 |
| 1265064539 | Caitlin Marie Woerner | Registered Nurse | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-02-05 |
| 1730719972 | Sarah Pluto | Dietetic Technician, Registered | 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | 2020-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992255301 | Stephanie Gamber | Registered Nurse | 5405 East Pinnacle Vista Drive, Phoenix, AZ 85054 | 2016-10-10 |
| 1508231960 | Deborah Elam | Acupuncturist | 5777 East Mayo Boulevard Mayo Clinic, Phoenix, AZ 85054 | 2015-12-09 |
| 1811176860 | Desert Ridge Pediatric Dentistry | Clinic/Center | 5315 E. High Street, Suite 115, Phoenix, AZ 85054 | 2007-10-26 |
| 1902968639 | Ryan David Schulze | Chiropractor | 7000 E Mayo Blvd Ste 1058, Phoenix, AZ 85054 | 2006-12-16 |
| 1477517423 | Gary Betz II Md PC | Internal Medicine | 7010 E. Chauncey Lane, Suite 145, Phoenix, AZ 85054 | 2006-04-14 |
| 1689658395 | Alice G Mccormick | Internal Medicine | 5450 East Deer Valley Drive Unit 3206, Phoenix, AZ 85054 | 2005-12-06 |
| 1770576241 | Michelle Renee Kuhn | Physician Assistant | 6950 E Chauncey Ln, Phoenix, AZ 85054 | 2005-08-30 |
| 1609869981 | Jeffrey Alan Smith | Optometrist | 18325 N Allied Way Ste 100, Phoenix, AZ 85054 | 2005-08-23 |
| 1043219389 | Hasan Khamash | Internal Medicine | 5779 E Mayo Blvd, Phoenix, AZ 85054 | 2005-07-19 |
| 1497753750 | Rajeev Agarwal | Pediatrics | 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054 | 2005-07-11 |
| Find all providers in zip 85054 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497277768 | Brent Allen Chang | Otolaryngology | 5777 E Mayo Blvd Dept Of, Phoenix, AZ 85054-4502 | 2017-07-08 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1770727323 | John Tyler French | Otolaryngology | 1010 E Mcdowell Rd Ste 200, Phoenix, AZ 85006-2608 | 2009-04-27 |
| 1366619405 | Max Lindbergh Wertz | Otolaryngology | 1516 E Hamblin Dr, Phoenix, AZ 85050 | 2008-05-08 |
| 1790971307 | Arizona Sinus and Ent Associates PC | Otolaryngology | 1515 N 9th Street B, Phoenix, AZ 85006-2523 | 2007-09-18 |
| 1912113085 | Joseph Ahlstrom Chiara | Otolaryngology | 3806 East Bell Road, Suite 5800, Phoenix, AZ 85032-2160 | 2007-05-15 |
| 1902018831 | James Chuang PC | Otolaryngology | 5110 E Warner Rd Ste 210, Phoenix, AZ 85044 | 2007-05-04 |
| 1861561011 | Jose L Robledo | Otolaryngology | 15835 S 46th St, Suite 132, Phoenix, AZ 85048-0446 | 2006-11-06 |
| 1043238744 | Charles R Orozco | Otolaryngology | 4250 E Camelback, Suite K-250, Phoenix, AZ 85018-8301 | 2006-07-18 |
| 1447293659 | Su Cherl Lee | Otolaryngology | 3827 Blenheim Rd, Phoenix, MD 21131-2101 | 2006-06-14 |
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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.