DR. M. JERRY ZAPANTA MARIANO (NPI# 1376582908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376582908 |
| Entity Type | Individual |
| Full Name | DR. M. JERRY ZAPANTA MARIANO |
| Other Name | DR. M. JERRY Z MARIANO |
| Credential | M.D. |
| Practice Address |
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744-9603 |
| Practice Telephone | 2183263433 |
| Practice Fax Number | 2183263435 |
| Mailing Telephone | 2183263433 |
| Mailing Fax Number | 2183263435 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 43720 | MN | Allopathic & Osteopathic Physicians |
| N | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
43720 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE | 43720 | 01 |
| MN | 184514400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3605 Mayfair Ave Ste 2150, Hibbing, MN 557462938 | 2182623156 | 2182621456 |
| Street Address |
1542 GOLF COURSE RD SUITE 201 |
| City | GRAND RAPIDS |
| State | MN |
| Zip Code | 55744-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879756 | John A Moran | Ophthalmology | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 | 2005-08-24 |
| 1326683988 | Matthew Davis Borowski | Specialist/Technologist | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2019-11-07 |
| 1538672548 | Kjerstin G Durie | Physician Assistant | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2017-11-13 |
| 1104217785 | Sarah Jean Levar | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2015-02-18 |
| 1871926691 | Andrew Michael Mccann | Physical Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2013-08-15 |
| 1093152423 | Deer River Healthcare Center, Inc. | Clinic/Center | 1542 Golf Course Rd, Grand Rapids, MN 55744-3555 | 2013-05-24 |
| 1245538750 | Anne Marie Grozdanich | Nurse Practitioner | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3555 | 2011-03-08 |
| 1174854350 | Radtke Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2010-01-27 |
| 1659509362 | Lanea D Johnson | Occupational Therapist | 1542 Golf Course Rd, Suite 104, Grand Rapids, MN 55744-3555 | 2009-07-01 |
| 1376734418 | Susan L Anderson | Registered Nurse | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3555 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1699392555 | Duane Stanley Helmer | Counselor | First Call for Help of Itasca County, 1707 Nw 4th Street Suite B, Grand Rapids, MN 55744 | 2020-06-26 |
| 1821631391 | Patrice Marie Curtiss | Technician | 23792 Winckler Road, Grand Rapids, MN 55744 | 2019-10-28 |
| 1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1912311333 | Doctor V LLC | Psychologist | 2002 Cromell Drive, Hope House of Itasca County, Laprairie, MN 55744 | 2014-06-13 |
| 1104244987 | Linda Reinen-thompson | Contractor | 34307 Hwy. 38, Grand Rapids, MN 55744 | 2014-03-31 |
| 1275883266 | Lana Rae Jacobson | Registered Nurse | 1401 Nw 9th Street, Grand Rapids, MN 55744 | 2012-09-17 |
| 1518252048 | David Allen Griggs | Pharmacist | 2140 S.pokegama Ave., T-0904, Target, Grand Rapids, MN 55744 | 2011-06-13 |
| 1447575063 | Kelly Ann Shermoen | Pharmacist | 18 Se 10th Street, Grand Rapids, MN 55744 | 2010-04-07 |
| Find all providers in zip 55744 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.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 Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1609212208 | Mary Jia Ling Lim | Ophthalmology | 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 | 2013-05-22 |
| 1215143797 | Kathleen Urban Dehorn | Ophthalmology | 2505 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-6100 | 2007-05-14 |
| 1194894055 | Michael Debre' Harrison | Ophthalmology | 435 Cherry St Se, Grand Rapids, MI 49503-4672 | 2006-11-07 |
| 1194753186 | Thomas Marshall Aaberg Jr. | Ophthalmology | 5030 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-06-29 |
| 1699703470 | Danny D Wang | Ophthalmology | 2727 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-9611 | 2006-06-29 |
| 1710913926 | Vitreo-retinal Associates P.C. | Ophthalmology | 2505 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-23 |
| 1255371647 | Jeffrey Daniel Zheutlin | Ophthalmology | 2505 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-07 |
| 1972552628 | Patrick Joseph Droste | Ophthalmology | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-09 |
| 1598727935 | Elizabeth H Henry | Ophthalmology | 791 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8625 | 2006-04-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
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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.