Maria L Jison MD LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

D0054450 Issued in MD

Legal business name

MARIA L JISON MD LLC

Practice address

11006 Veirs Mill Rd
PMB 261
Wheaton, MD 20902-2582

Phone

(240) 489-6262

Fax

(240) 489-6262

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria Leonor Jison, MD

Title

Owner

Phone

(301) 717-7912

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1689687162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD",
            "address_2": "PMB 261",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022582",
            "telephone_number": "240-489-6262",
            "fax_number": "240-489-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD",
            "address_2": "PMB 261",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022582",
            "telephone_number": "240-489-6262",
            "fax_number": "240-489-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA L JISON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "JISON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LEONOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-717-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0054450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326080193",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Mack, PA-C
• Pouya Mahmoudian Esfahani
• Chun Yin Jethro Mak, PT, DPT
• Helen Ada Mandel, EDD
• Esther Olajide Manner, PA
• Mark K Li, MD
• Maryland CVS Pharmacy, L.L.C.
• Ivy Sue Masserman, M.D.
• Alan Ken Matsumoto, M.D.
• Jana Lakim McCall, D.D.S, M.S.

• Pulmonary Disease Physician in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.