JANELLE MARIE MARRA (NPI# 1003070467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003070467 |
| Entity Type | Individual |
| Full Name | JANELLE MARIE MARRA |
| Credential | DO |
| Practice Address |
1145 Sturgis Road Magtftc Mcagcc Twentynine Palms CA 92278-8250 |
| Mailing Address |
Box 788250 Magtftc Mcagcc Twentynine Palms CA 92278-8250 |
| Practice Telephone | 7608302190 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A11137 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912239781 | Janelle S Marra | Licensed Practical Nurse | 347 East Ave, Rochester, NY 14604-2617 | 2010-02-04 |
| Street Address |
1145 STURGIS ROAD MAGTFTC MCAGCC |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92278-8250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699726570 | Naval Hospital Twentynine Palms | Military Hospital | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2006-05-15 |
| 1659927788 | Tyler Pharr Hamby | Optometrist | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2019-08-14 |
| 1124560552 | Nicole Kang | Student in an Organized Health Care Education/Training Program | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2016-11-16 |
| 1366854663 | Phyllis Jo Ann Dykes | Registered Nurse | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2014-05-21 |
| 1750644142 | John James Nevin | Pediatrics | 1145 Sturgis Road, Twentynine Palms, CA 92277 | 2012-06-20 |
| 1013281765 | Amanda Faye Boudreaux | Audiologist | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2012-02-28 |
| 1386946853 | Kara Michele Wortley | Physician Assistant | 1145 Sturgis Road, Naval Hospital Twentynine Palms, Twentynine Palms, CA 92278-1831 | 2010-12-03 |
| 1114124682 | Rodrigo Fernando Lopez | Nurse Anesthetist, Certified Registered | 1145 Sturgis Road, Naval Hospital Twentynine Palms, Twentynine Palms, CA 92278 | 2007-06-28 |
| 1821295585 | Arika L Johnson | Clinical Neuropsychologist | 1145 Sturgis Road, Naval Hospital 29 Palms, Twentynine Palms, CA 92278-8250 | 2007-06-27 |
| 1457555161 | Anatoly Kristiann Hernandez | Anesthesiology | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
| 1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
| 1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
| 1497184188 | Blake Lyman | Physician Assistant | 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 | 2013-11-04 |
| 1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
| 1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
| 1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952599433 | David John Klimaski | Family Medicine | 7th Regimental Aid Station, Bldg 1458, Twentynine Palms, CA 92278 | 2007-10-09 |
| 1295803898 | Mark F Lund | Family Medicine | Box 788262 Mcagcc, 2d Bn 7th Marines, Twentynine Palms, CA 92278 | 2006-12-01 |
| 1154336246 | Sean R Thomas Md, Inc | Family Medicine | 6186 Adobe Rd, Twentynine Palms, CA 92277-2652 | 2006-07-29 |
| 1447246152 | Jay Erickson | Family Medicine | 1458 4th St Mcagcc/ Magtftc, 7th Marine Regimental Aid Station, Twentynine Palms, CA 92278 | 2005-09-27 |
| 1710339239 | Paige Bowman | Family Medicine | 1145 Sturgis Rd, Twentynine Palms, CA 92277 | 2016-07-08 |
| 1891145462 | Kristina Grim Barley | Family Medicine | Naval Hospital Twentynine Palms, 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2016-06-15 |
| 1306185459 | Rachel Ann Stevenson | Family Medicine | Naval Hospital Twentynine Palms, 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2013-02-10 |
| 1366428815 | Daniel Wayne Hansen | Family Medicine | Naval Hospital, Attn Professional Affairs, Bldg 1145, Sturgis Street, Twentynine Palms, CA 92278-8250 | 2005-12-16 |
| 1326023011 | Robert E. Bush Naval Hospital | Family Medicine | Magtftc Mcagcc Box 788250, Naval Hospital Attn Professional Affairs, Twentynine Palms, CA 92278-8250 | 2005-12-14 |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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| City | TWENTYNINE PALMS |
| Zip Code | 92278 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.