Active NPI
Mareshia G Motarjeme
- Dermatology Physician
- Brookfield, WI
National Provider Identifier
1992881361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 858023
- Practice address
- 17100 W North Ave
Suite 200
Brookfield, WI 53005 - Phone
- (262) 784-3800
- Fax
- (262) 784-7936
- NPI assigned
- Oct 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 858023 | WI | Primary |
Addresses
Primary practice location
17100 W North Ave
Suite 200
Brookfield, WI 53005
Mailing address
17100 W North Ave
Suite 200
Brookfield, WI 53005
Phone (262) 784-3800
Other names 1
- Mareshia G Linens
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 858023 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Healthcare SC | Dermatology | Past | Accepting new patients |
| Health Dynamics, LLC | Past | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Dermatology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Milwaukee, WI
- NPI 1255389581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992881361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 W NORTH AVE",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-784-3800",
"fax_number": "262-784-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 W NORTH AVE",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-784-3800",
"fax_number": "262-784-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTARJEME",
"first_name": "MARESHIA",
"middle_name": "G",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "858023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARESHIA",
"last_name": "LINENS",
"middle_name": "G",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.