DR. TIMOTHY E. MARRA (NPI# 1154391332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154391332 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY E. MARRA |
| Credential | D.O. |
| Practice Address |
865 Beaver Dr Du Bois PA 15801-2511 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143712390 |
| Practice Fax Number | 8143719532 |
| Mailing Telephone | 8143712390 |
| Mailing Fax Number | 8143719532 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | OS014796 | PA | Allopathic & Osteopathic Physicians |
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
20A7781 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102320511 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 N El Dorado Pl, Tucson, AZ 857154606 | 5203275677 | 5203252335 |
| Street Address |
865 BEAVER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578630216 | Veronica Kim Newsome | Internal Medicine | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-11-29 |
| 1659467199 | Dubois Regional Medical Group, PC | Physician Assistant | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-10-04 |
| 1619077047 | Dubois Regional Medical Center | Internal Medicine | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-09-25 |
| 1285674176 | John A Fabre | Ophthalmology | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-06-07 |
| 1356319149 | Marcy A. Hartle | Pediatrics | 865 Beaver Dr, Du Bois, PA 15801 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710178439 | Ryan J Bisbey | Ophthalmology | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2007-08-07 |
| 1467563502 | Thomas W. Smith, Md PC | Ophthalmology | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-08-31 |
| 1972614014 | John A. Fabre, Md PC | Ophthalmology | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-08-31 |
| 1598708703 | Thomas W Smith | Ophthalmology | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-06-14 |
| 1285674176 | John A Fabre | Ophthalmology | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1871115691 | Harold P Koller Md LLC | Ophthalmology | 1650 Huntingdon Pike Ste 208, Meadowbrook, PA 19046-8006 | 2020-05-14 |
| 1851938039 | Katherine Marie Mehalik | Ophthalmology | 301 S Hills Vlg Ste 2115a, Pittsburgh, PA 15241-1400 | 2019-12-05 |
| 1275177602 | Vision Innovation Centers of Pa LLC | Ophthalmology | 1000 Market St Ste 5, Bloomsburg, PA 17815-2601 | 2019-10-29 |
| 1255982963 | Priyanka Kukkar | Ophthalmology | 203 Lothrop Street, 8th Floor, Upmc Eye Center, Pittsburgh, PA 15213 | 2019-09-24 |
| 1871149716 | Harrisburg Eye Associates PC | Ophthalmology | 4700 Union Deposit Rd Ste 220, Harrisburg, PA 17111-3774 | 2019-08-15 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1528623477 | Jay Kumar Chhablani | Ophthalmology | 203 Lothrop St Ste 821.2, Pittsburgh, PA 15213-2548 | 2019-05-07 |
| 1295290179 | Erika Massicotte | Ophthalmology | 203 Lothrop Street, Suite 821.2 Upmc Eye Center, Pittsburgh, PA 15213 | 2019-02-05 |
| 1417441692 | Blue Bell Eye Care & Surgery, P.C. | Ophthalmology | 686 Dekalb Pike Ste 202, Blue Bell, PA 19422-1258 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
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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.