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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
4301049546 | MI | Allopathic & Osteopathic Physicians |
Street Address |
27115 GRATIOT AVE |
City | ROSEVILLE |
State | MI |
Zip Code | 48066-2900 |
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 |
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 |
Find all providers in zip 48066 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
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 |
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 |
Find all providers with the same taxonomy |
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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.