Alisha Michelle Mavis
M.D. | Pediatric Transplant Hepatology | Female
Alisha Michelle Mavis, M.D. is a Durham, North Carolina based Pediatric doctor with medical specialization in
Pediatric Transplant Hepatology.
Current practice location of Alisha Michelle Mavis is
Dumc 102375, Rm 370 Hanes House, Durham, North Carolina - 27710-0001. She can be contacted on phone at
919-684-5068 and fax number 919-684-4836.
Alisha Michelle Mavis is a sole proprietor of her business.
NPI number (Unique professional ID) for Alisha Michelle Mavis is
1053583823 which was assigned by NPPES on 01 Apr, 2008 and it was last updated on 27 May, 2022.
Alisha Michelle Mavis license number is
2016-01113 for Pediatrics Pediatric Transplant Hepatology (2080T0004X) in North Carolina.
Alisha Michelle Mavis with expertise in transplant hepatology encompasses the special knowledge and skill required of pediatric gastroenterologists to care for patients prior to and following hepatic transplantation; it spans all phases of liver transplantation.
Complete Profile:
Alisha Michelle Mavis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Transplant Hepatology |
|---|
| Provider Name : | Alisha Michelle Mavis |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Alisha Michelle Mavis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Dumc 102375, Rm 370 Hanes House
Durham, NC, 27710-0001
United States |
|---|
| Phone Number : | 919-684-5068 |
|---|
| Fax Number : | 919-684-4836 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053583823 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 01 Apr, 2008 |
|---|
| Last Updated On : | 27 May, 2022 |
|---|
Medicare Participation:
Alisha Michelle Mavis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476730037 |
|---|
| Medicare Enrollment ID : | I20160801002405 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University Of Oklahoma College Of Medicine |
|---|
| Graduation Year : | 2008 |
|---|
| Accepts Medicare? | Yes. Alisha Michelle Mavis accepts medicare insurance. |
|---|
Group Practice Association:
Alisha Michelle Mavis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alisha Michelle Mavis is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 300 Meadowmont Village Cir
Suite 311
Chapel Hill, NC - 275177518
Ph: 9199678052 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | Harris Smith Ob/gyn
3000 Meadowmont Village Circle Suite 311
Chapel Hill, NC - 275177518
Ph: 9199678052 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2301 Erwin Rd
Durham, NC - 277054699
Ph: 9196819660 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2351 Erwin Rd
Durham, NC - 277054699
Ph: 9196848111 | Yes |
| Private Diagnostic Clinic, Pllc | 1355254368 | 2345 | 2351 Erwin Rd
Duke Eye Center
Durham, NC - 277054699
Ph: 9196848111 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alisha Michelle Mavis are as mentioned. Primary taxonomy code for Alisha Michelle Mavis, M.D. is
2080T0004X (Pediatrics Pediatric Transplant Hepatology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 54053 | WI |
| 2080T0004X | Pediatrics Pediatric Transplant Hepatology | No | 036-134960 | IL |
| 2080T0004X | Pediatrics Pediatric Transplant Hepatology | Yes | 2016-01113 | NC |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 036-134960 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Alisha Michelle Mavis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1053583823 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Dumc 102375, Rm 370 Hanes House
Durham, NC, 27710-0001
United States |
|---|
| Phone Number : | 919-684-5068 |
|---|
| Fax Number : | 919-684-4836 |
|---|
Business Location:
Patients can refer following map for directions to
Alisha Michelle Mavis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.