MARISA ANN SPENCER (NPI# 1053637223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053637223 |
| Entity Type | Individual |
| Full Name | MARISA ANN SPENCER |
| Other Name | MARISA ANN DEGAETANI |
| Credential | MD |
| Practice Address |
235 E State St Saint Croix Falls WI 54024-4117 |
| Practice Telephone | 7154833221 |
| Practice Fax Number | 7154830507 |
| Mailing Telephone | 7154833221 |
| Mailing Fax Number | 7154830507 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
69162 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861050346 | Marisa Spencer | Speech-Language Pathologist | 7617 3rd Ave, Brooklyn, NY 11209-3154 | 2019-05-30 |
| Street Address |
235 E STATE ST |
| City | SAINT CROIX FALLS |
| State | WI |
| Zip Code | 54024-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457457 | Jonn B. Dinnies | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2005-06-16 |
| 1093335796 | Alyssa Rose Everson | Physician Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2020-04-22 |
| 1427600584 | Stephanie June Mysicka | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-07-09 |
| 1962962670 | Amanda Novak | Pharmacist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-03-20 |
| 1023587581 | Phillip E Petrowitz | Physical Therapy Assistant | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-11-14 |
| 1538635479 | Janine Marie Crotty | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-10-18 |
| 1326556507 | Jamie Fahrenkrug | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2018-01-22 |
| 1417474115 | Megan E Swenson | Specialist/Technologist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2017-08-24 |
| 1043661978 | Jenna B Mazour | Nurse Practitioner | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-22 |
| 1750731725 | Lauren Victoria Greene | Family Medicine | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2016-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063078210 | Carson Cannon | Dentist | 230 South Washington St, St. Croix Falls, WI 54024 | 2019-05-14 |
| 1467743435 | Sarie Chieko Transue | Occupational Therapy Assistant | 450 East Lousiana St, St. Croix Falls, WI 54024 | 2011-04-26 |
| 1982909578 | Anita Melodee Bont | Marriage & Family Therapist | 144 N. Adams Street, St. Croix Falls, WI 54024 | 2011-01-13 |
| 1346407376 | Joy Kathleen Zasadny | Chiropractor | 520 S. Washington St, St. Croix Falls, WI 54024 | 2008-05-19 |
| 1093990822 | Counseling Associates of St. Croix, Inc | Community/Behavioral Health | 809 Us Hwy 8 East, St. Croix Falls, WI 54024 | 2007-12-28 |
| 1710169263 | School District of St. Croix Falls | Local Education Agency (LEA) | 740 Maple Drive, St. Croix Falls, WI 54024 | 2007-11-27 |
| 1225151558 | Patrick Earl Mcdonough | Family Medicine | 235 State Street, St. Croix Falls, WI 54024 | 2007-04-10 |
| 1366577488 | Valerie A Zellmer | Marriage & Family Therapist | 809 Us Hwy 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1689709511 | Linda M Amundson | Marriage & Family Therapist | 809 Us Highway 8, St. Croix Falls, WI 54024 | 2007-02-22 |
| 1194850016 | Donna L. Hill | Counselor | 809 Us Highway 8 East, St. Croix Falls, WI 54024 | 2007-02-22 |
| Find all providers in zip 54024 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265872998 | Eugene Kligman | Internal Medicine | 13133 N Port Washington Rd Ste G16, Mequon, WI 53097-2423 | 2013-06-26 |
| 1770929226 | Paul Michael Estrada | Internal Medicine | 437 N Frances St, Madison, WI 53703-2013 | 2013-05-10 |
| 1174851273 | Victor Ciofoaia | Internal Medicine | 700 West Ave South, La Crosse, WI 54601 | 2009-12-01 |
| 1255594537 | Freddy Caldera Jr. | Internal Medicine | 1685 Highland Avenue, 4256 Mfcb, Madison, WI 53705 | 2008-07-07 |
| 1457552689 | Erica Ann Samuel | Internal Medicine | 2424 S 90th St Ste 410, West Allis, WI 53227-2455 | 2007-05-28 |
| 1629157425 | Charles Cromwell | Internal Medicine | 2311 N Prospect, Milwaukee, WI 53211 | 2006-11-03 |
| 1992805832 | Suhasini Turlapati | Internal Medicine | 820 E Grant Street, Appleton, WI 54911 | 2006-09-22 |
| 1679676936 | Holy Family Memorial Inc | Internal Medicine | 800 Lakefront Way, Two Rivers, WI 54241-3301 | 2006-09-05 |
| 1639287436 | Kevin A Lang | Internal Medicine | M207 Marsh Ln, Marshfield, WI 54449-9293 | 2006-08-29 |
| 1063423515 | Joel M Carlson | Internal Medicine | 420 Dewey Street, Wisconsin Rapids, WI 54495-0005 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CROIX FALLS |
| Zip Code | 54024 |
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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.