MAHLON OGDEN MARIS M. D. NPI 1275508061

NPI Information

  • NPI: 1275508061
  • Provider Name: MAHLON OGDEN MARIS, M. D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 715 W SHERMAN AVE
    SUITE G
    HARRISON, AR
    ZIP 72601
  • Phone: (870) 741-8247

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NPI Details

Mahlon Ogden Maris, M. D. is a family medicine in Harrison, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mahlon Ogden Maris, M. D. NPI is 1275508061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 W SHERMAN AVE
SUITE G
HARRISON, AR
ZIP 72601-743
Phone: (870) 741-8247
Fax: (870) 741-3933

The NPI 1275508061 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 enumeration date for this NPI number is 2/23/2006 and was last updated on 12/1/2009.

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
1207Q00000XFamily MedicineC4123ARKANSASYes

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
153303MEDICARE PINARKANSAS
2D16974MEDICARE UPINARKANSAS
3101262001MEDICAIDARKANSAS
4043424MEDICARE OSCAR/CERTIFICATIONARKANSAS

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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