DR. JUSTIN JOHN MARONE D.O. NPI 1104857796

NPI Information

  • NPI: 1104857796
  • Provider Name: DR. JUSTIN JOHN MARONE, D.O.
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 23D0894106
  • Address: 1457 NORTH M-52
    OWOSSO, MI
    ZIP 48864
  • Phone: (989) 725-8436

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NPI Details

DR. Justin John Marone, D.O. is a procedural dermatology dermatology in Owosso, MI with 43 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. Justin John Marone, D.O. NPI is 1104857796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1983

The provider's business location address is:

1457 NORTH M-52
OWOSSO, MI
ZIP 48864
Phone: (989) 725-8436
Fax: (989) 723-8164

The NPI 1104857796 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0894106 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11302)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • All potassium hydroxide (koh) preparations (HCPCS:Q0112)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11312)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11307)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm (HCPCS:17263)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:17283)
  • Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11311)
  • Biopsy of eyelid (HCPCS:67810)
  • Biopsy of ear (HCPCS:69100)
  • Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:17273)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyJM012360MICHIGANNo
2207NS0135XDermatologyProcedural DermatologyJM012360MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14282097MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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