Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972795920 Individual Practitioner Female Practitioner

Dr. Mara Lauren Liss , MD

Pediatrics • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mara Liss, MD is a registered healthcare professional specializing in Pediatrics in Minnetonka, MN. Practice services are available at 14001 RIDGEDALE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14001 Ridgedale Dr
Suite 100

Minnetonka, MN 553051753

Telephone 9524730211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
51 Specialists

Practicing in Minnetonka, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 53077

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Linda Sedgwick , CPNP

Registered Nurse - Pediatrics

NPI 1003888512

Certified Pediatric Nurse Practitioner

NPI 1033301650

Doctor of Medicine (M.D.)

NPI 1053383588

Doctor of Medicine (M.D.)

Kelly Boie , PPCNP-BC

Nurse Practitioner - Pediatrics

NPI 1063485514

PPCNPBC

NPI 1063486595

Doctor of Medicine (M.D.)

Kirsten Dougherty , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1144718933

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

Registered at 14001 RIDGEDALE DR, SUITE 100, MINNETONKA, MN 553051753 (Tel: 9524730211)

📍
Updated Business Mailing Address March 30, 2017

Registered at 4370 BROWNDALE AVE, ST LOUIS PARK, MN 554241012 (Tel: 7632346632)

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as MARA LISS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Pediatrics (License #53077 in MN)

NPI Profile Active August 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2007

Registered at 2566 ELLIS AVE, #409, SAINT PAUL, MN 551141445 (Tel: 7632346632)

📍
Updated Business Mailing Address August 14, 2007

Registered at 2566 ELLIS AVE, #409, SAINT PAUL, MN 551141445 (Tel: 7632346632)

👤
Provider Name / Credentials Updated August 14, 2007

Recorded as MARA LISS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2007

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972795920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2007
Last Update: March 30, 2017
Sole Proprietor: No

Mailing Address

4370 Browndale Ave

St Louis Park, MN 554241012

Phone: 7632346632

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.