DR. MARIA BALLEZA


Address: 27115 Gratiot Ave, Roseville, MI 48066-2900
Phone: 5867767000

DR. MARIA BALLEZA (NPI# 1205978921) 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) 1205978921
Entity Type Individual
Full Name DR. MARIA BALLEZA
Credential M.D.
Practice Address 27115 Gratiot Ave
Roseville
MI 48066-2900
Mailing Address 9631 Merriman Rd
Livonia
MI 48150
Practice Telephone 5867767000
Practice Fax Number 5867762310
Mailing Telephone 7342617798
Enumeration Date 2007-02-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
4301049546 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 27115 GRATIOT AVE
City ROSEVILLE
State MI
Zip Code 48066-2900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497896187 Constance Schoner Social Worker 27115 Gratiot Ave, Roseville, MI 48066-2900 2007-02-08
1841641610 Mcgettrick Dental Management, Pllc Dentist 27115 Gratiot Ave, Roseville, MI 48066-2900 2016-06-23
1306220041 Thomas Chae Dentist 27115 Gratiot Ave, Roseville, MI 48066-2900 2015-07-13
1023205937 Arthur Mark Harris Dentist 27115 Gratiot Ave, Roseville, MI 48066-2900 2007-09-25
1457482671 Abiola Oladele Counselor 27115 Gratiot Ave, Roseville, MI 48066-2900 2007-03-08
1649300633 Cordette Newsome Counselor 27115 Gratiot Ave, Roseville, MI 48066-2900 2007-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013367473 East & West Physicians PC Internal Medicine 20905 Greenfield Rd Ste 608, Southfield, MI 48075-5355 2016-06-16
1033445861 Ayad M George, Pllc Internal Medicine 2132 Cedar St, Holt, MI 48842-1458 2009-10-29
1588821433 West Michigan Addiction Consultants, PC Internal Medicine 3001 Fuller Ave Ne, Suite 1, Grand Rapids, MI 49505-3247 2008-05-19
1922108927 Rudy Jerome Vervaeke Internal Medicine 21420 Harper Ave, Suite 2, Saint Clair Shores, MI 48080-3607 2006-09-22
1730727850 Dearborn Pain Center Pllc Internal Medicine 624 E 9 Mile Rd, Hazel Park, MI 48030-1842 2019-12-19
1063069359 Faster Care Connor Creek, Pllc Internal Medicine 4777 E Outer Dr, Detroit, MI 48234-3241 2019-08-21
1356869572 America Recovery Center, Pllc Internal Medicine 20217 Ann Arbor Trl, Dearborn Heights, MI 48127-2692 2017-09-07
1356793954 Iha Health Services Corporation Internal Medicine 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 2016-07-07
1770967226 Newhorizon Center LLC Internal Medicine 555 W Crosstown Pkwy, Suite 201, Kalamazoo, MI 49008-1999 2015-07-15
1942618228 Changes Internal Medicine 19940 Conant St, Detroit, MI 48234-1494 2014-07-30
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Competitor

Search similar providers

City ROSEVILLE
Zip Code 48066

Improve Information

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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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