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Deactivated NPI 1235375312 Deactivated / Inactive NPI Male Practitioner

Dr. Ivan Marais , MD

Ophthalmology • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ivan Marais has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2008
NPI Deactivation Date May 24, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Ivan Marais, MD was a registered Ophthalmology practicing in Memphis, TN. Throughout an active medical career spanning 9 years, Dr. Marais provided care at the practice location at 1910 NONCONNAH BLVD until profile deactivation on 2017-05-24.

Practice Location & Contact Primary Location

Practice Address

1910 Nonconnah Blvd

Memphis, TN 381322113

Telephone 9014482300
Fax 9014486657
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.6 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
67 Specialists

Practicing in Memphis, TN (395 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

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TN 41120

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joel Slade , MD

Anesthesiology

NPI 1003872045

Doctor of Medicine (M.D.)

Dr. William Riggs , MD

Radiology - Pediatric Radiology

NPI 1013974195

Doctor of Medicine (M.D.)

Dr. James Lewis , MD

Internal Medicine

NPI 1013974930

Doctor of Medicine (M.D.)

Jamie Harford , NP

Registered Nurse - Neonatal Intensive Care

NPI 1033140496

Nurse Practitioner

Dorothy Morrow , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043277411

Certified Registered Nurse Anesthetist

Sylvia Watt , NP

Nurse Practitioner

NPI 1043277494

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 24, 2017

Record deactivated on May 24, 2017

NPI Profile Active December 19, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 19, 2008

Registered at 1910 NONCONNAH BLVD, MEMPHIS, TN 381322113 (Tel: 9014482300)

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Updated Business Mailing Address December 19, 2008

Registered at 66 N PAULINE ST, MEMPHIS, TN 381055105 (Tel: 9014482786)

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Provider Name / Credentials Updated December 19, 2008

Recorded as IVAN MARAIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2008

Ophthalmology (License #41120 in TN)

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Initial NPI Registration & Enumeration December 19, 2008

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: 1235375312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2008
Last Update: December 19, 2008
Deactivation Date: May 24, 2017

Mailing Address

66 N Pauline St

Memphis, TN 381055105

Phone: 9014482786

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.