Individual provider Active NPI

Morris Maizels, MD

  • Family Medicine Physician
  • Central Point, OR
National Provider Identifier
1356499305
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD215165 Issued in OR
Practice address
870 S Front St Ste 200
Central Point, OR 97502-2779
Phone
(541) 732-8000
NPI assigned
Jan 8, 2007
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200901648 NC
Family Medicine Physician 207Q00000X G35267 CA
Family Medicine Physician 207Q00000X MD00019473 WA
Family Medicine Physician 207Q00000X MD215165 OR Primary

Addresses

Primary practice location

870 S Front St Ste 200
Central Point, OR 97502-2779

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (541) 732-8000

Other practice location 1

930 N Broadway
Everett, WA 98201-1409
Phone (425) 317-0300

Other practice location 2

1330 Rockefeller Ave Ste 210
Everett, WA 98201-1676
Phone (425) 261-4940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD215165ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Center for Advanced Management of Pain, LLC CurrentSince Dec 1, 2009 Accepting new patients
Carolinas Center for Advanced Management of Pain PastSince Dec 1, 2009 Accepting new patients
Blue Ridge Headache Center Family Medicine PastSince Oct 1, 2012 Accepting new patients

Locations

1998 Hendersonville Rd
Ste 45
Asheville, NC 28803
Phone (704) 829-4728

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20461/brand/1/csg/21/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1356499305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S FRONT ST STE 200",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022779",
            "telephone_number": "541-732-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011409",
            "country_code": "US",
            "telephone_number": "425-317-0300",
            "fax_number": "425-317-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Rockefeller Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011676",
            "country_code": "US",
            "telephone_number": "425-261-4940",
            "fax_number": "425-261-4932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIZELS",
        "first_name": "MORRIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200901648",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G35267",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019473",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD215165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.