Jacqueline N Maraire, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD25704 Issued in OR

Practice address

2630 Campus Dr
Klamath Falls, OR 97601-1105

Phone

(541) 274-8911

Fax

(541) 274-8925

NPI assigned

Jul 22, 2006

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1255352522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 CAMPUS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011101",
            "telephone_number": "541-274-8911",
            "fax_number": "541-274-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 CAMPUS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011105",
            "telephone_number": "541-274-8911",
            "fax_number": "541-274-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARAIRE",
        "first_name": "JACQUELINE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD25704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269663",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aran Michael Gonzales Manalang
• Dana Manfull, RDH
• Kathleen A Mann, CADC II
• Aletta Jocelyn Mannix, RN
• Kristina Marie Manzo, PSS/CRM
• Marc D Orlando MD PC
• Sara Jeanne Marchessault, PA-C, FNP-C
• Melanie Vade Marcott, QHMA
• Rachel Marie Margis
• Mark Davis, DDS PC

• Neurological Surgery Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.