DR. T J MAROON II (NPI# 1720056153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720056153 |
| Entity Type | Individual |
| Full Name | DR. T J MAROON II |
| Credential | M.D. |
| Practice Address |
729 Sunrise Ave Ste 602 Roseville CA 95661-4542 |
| Mailing Address |
5098 Foothills Blvd # 3-335 Roseville CA 95747-6526 |
| Practice Telephone | 9169537571 |
| Practice Fax Number | 9167718515 |
| Mailing Telephone | 9167658698 |
| Mailing Fax Number | 9167836695 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A55307 | CA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
A55307 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0046250 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 Del Norte Ave, Yuba City, CA 959914125 | 9169537571 | 9167718515 |
| Street Address |
729 SUNRISE AVE STE 602 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882012 | Benjamin Pearce | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2020-05-07 |
| 1689224909 | Christopher Duval Phillips | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2019-09-18 |
| 1184111569 | Arshin Kaviani Destjerdi | Pharmacist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2018-04-20 |
| 1790292712 | Sara Niknam | Physician Assistant | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2017-12-29 |
| 1134550213 | Vanessa Kovarik Brown | Nurse Practitioner | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2013-11-27 |
| 1427322635 | Advanced Pain Diagnostic & Solutions, Inc. | Clinic/Center | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2012-03-06 |
| 1639227044 | Victor Manuel Nava | Specialist | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2007-01-08 |
| 1396834560 | R&r Physical Medicine and Rehabilitation Medical Clinic, Inc | Physical Medicine & Rehabilitation | 729 Sunrise Ave Ste 602, Roseville, CA 95661-4542 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235529140 | Delariva Md Professional Corporation | Anesthesiology | 3477 Castle Creek Ct, Roseville, CA 95661-7354 | 2015-01-29 |
| 1952731895 | Midwest Med Management, Inc | Anesthesiology | 1935 County Road B2 W, Ste 165, Roseville, MN 55113-2729 | 2013-11-13 |
| 1760821987 | Helen Chan | Anesthesiology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| 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.