MARISA LEIGH KING (NPI# 1164636304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636304 |
| Entity Type | Individual |
| Full Name | MARISA LEIGH KING |
| Other Name | MARISA LEIGH STROTHER |
| Credential | PAC |
| Practice Address |
3432 Holland Rd Virginia Beach VA 23452-4846 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 7574681855 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006161 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Fort Pierpont Dr Ste 101, Morgantown, WV 265081314 | 3042417150 | 3045998917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013186204 | Marisa Dawn King | Occupational Therapist | 497 Main St, Groton, MA 01450-1298 | 2008-02-21 |
| Street Address |
3432 HOLLAND RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952678732 | Barbra Ann Stultz | Physician Assistant | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2011-11-22 |
| 1629381637 | Leopoldo Alberto Dobronski Jacome | Internal Medicine | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2010-07-19 |
| 1083842025 | Jessica Lynn Pasko | Internal Medicine | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2009-06-29 |
| 1730331208 | Andrea Calderon Odewald | Physician Assistant | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2008-10-16 |
| 1932257946 | Patient First | Non-Pharmacy Dispensing Site | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2007-01-08 |
| 1902900558 | Patient First Richmond Medical Group Pllc | Family Medicine | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2006-09-12 |
| 1669581500 | John R Lennon | Physician Assistant | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2006-08-30 |
| 1003862939 | Phillip D Granger | Physician Assistant | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2006-05-25 |
| 1598720518 | Harold W. Markham | Family Medicine | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2006-04-20 |
| 1366407637 | Kelly L. Stern | Family Medicine | 3432 Holland Rd, Virginia Beach, VA 23452-4846 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047348 | Sara Minor Khadivi | Physician Assistant | 249 Cassady Ave, Virginia Beach, VA 23452-4248 | 2020-03-07 |
| 1659913283 | Jacqueline Alexander Oliver | Physician Assistant | 3198 Pacific Ave Ste 104, Virginia Beach, VA 23451-2949 | 2019-10-15 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1972067908 | Taylor Elizabeth Rose | Physician Assistant | 445 Caren Dr, Virginia Beach, VA 23452-3511 | 2019-01-23 |
| 1427521533 | Stephanie Michelle Smith | Physician Assistant | 2025 Williams Farm Rd, Virginia Beach, VA 23457-1390 | 2019-01-10 |
| 1902374044 | Patricia Lynette Nash | Physician Assistant | 5589 Greenwich Rd Ste 175, Virginia Beach, VA 23462-6564 | 2018-11-07 |
| 1851884332 | Aaron Zadai | Physician Assistant | 4437 Blackwater Rd, Virginia Beach, VA 23457-1124 | 2018-06-11 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1093196024 | Stephanie Zeiber | Physician Assistant | 3325 Woodsman Ln, Virginia Beach, VA 23452-5226 | 2015-06-16 |
| 1255733051 | Megan Christine Mcdevitt | Physician Assistant | 1168 First Colonial Rd Ste A, Virginia Beach, VA 23454 | 2014-09-23 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.