Maria Jean Canizares, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2002031471 Issued in MO

Practice address

300 Medical PLZ
Mob 2, Suite 210
Lake St Louis, MO 63367-1481

Phone

(636) 561-0026

Fax

(636) 561-0023

NPI assigned

Feb 8, 2007

Last updated

Mar 26, 2012By 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

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

St. Louis College of Physicians and Surgeons, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lake St Louis Dermatology PC

  • Dermatology Physician
  • Lake St Louis, MO
  • NPI 1255583746
  Medicare reassignment NPD

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1699815449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "MOB 2, SUITE 210",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481",
            "telephone_number": "636-561-0026",
            "fax_number": "636-561-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ",
            "address_2": "MOB 2, SUITE 210",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671481",
            "telephone_number": "636-561-0026",
            "fax_number": "636-561-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZARES",
        "first_name": "MARIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2002031471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olujoke Brimah Jones, MD
• Stacy Brown, STACY
• Lindsay Buchheit
• Nanci Jayne Bucy, DO
• Kaitlyn Mary Cafazza, APRN, PNP-BC
• Sydney Jo Carlisle, OTR/L
• Jennifer D Carroll, RPH
• Brittany Carter, LCSW
• Rick Cavins
• Cep America LLC

• Dermatology Physician in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.