MARISA ROSE GRAHAM


Address: 1818 Henderson St, Columbia, SC 29201-2619
Phone: 8037582602

MARISA ROSE GRAHAM (NPI# 1194939199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194939199
Entity Type Individual
Full Name MARISA ROSE GRAHAM
Credential PA-C
Practice Address 1818 Henderson St
Columbia
SC 29201-2619
Mailing Address 743 Folly Rd
Charleston
SC 29412-3432
Practice Telephone 8037582602
Practice Fax Number 8032538896
Mailing Telephone 8287622360
Mailing Fax Number 8287622340
Enumeration Date 2007-05-09
Last Update Date 2016-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 0010-01328 NC Physician Assistants & Advanced Practice Nursing Providers
Y 363A00000X Physician Assistant 1154 SC Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARISA GRAHAM

NPI Name Taxonomy Address Enumeration
1942464086 Marisa Jean Graham Pharmacist 315 Emerald Hills Dr, Billings, MT 59101-7227 2008-07-17

Office Location

Street Address 1818 HENDERSON ST
City COLUMBIA
State SC
Zip Code 29201-2619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457317224 Shirley Price Barnes Family Medicine 1818 Henderson St, Columbia, SC 29201-2619 2006-04-21
1306293998 Colin Stuart Turnnidge II Physician Assistant 1818 Henderson St, Columbia, SC 29201-2619 2016-05-24
1588000202 Janel Randolph Sabb Physician Assistant 1818 Henderson St, Columbia, SC 29201-2619 2013-05-21
1760727986 Michael Charles Miller Physical Therapist 1818 Henderson St, Columbia, SC 29201-2619 2012-11-28
1013266949 Elmer Gordon Long Family Medicine 1818 Henderson St, Columbia, SC 29201-2619 2012-09-06
1083993158 Virginia Lee Greene Family Medicine 1818 Henderson St, Columbia, SC 29201-2619 2011-08-08
1659500288 Anthony Frederick Lavigne Physical Therapist 1818 Henderson St, Columbia, SC 29201-2619 2009-07-02
1154508265 Doctors Care, Pa Emergency Medicine 1818 Henderson St, Columbia, SC 29201-2619 2008-01-31
1568560571 Doctors Care, P.a. Pediatrics 1818 Henderson St, Columbia, SC 29201-2619 2006-09-21
1144238833 Ana Josefina Zavadzkas Family Medicine 1818 Henderson St, Columbia, SC 29201-2619 2006-08-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049421 Souzan Moslehshirazi Behavior Technician 1320 Main Street Suite 300, Colombia, SC 29201 2020-10-02
1295353936 Kayla Faylyn Nicole Mckenzie Specialist/Technologist 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 2020-07-09
1548887128 Casania's Caring Hands,llc Home Health Aide 1113 Belleview Street, 105, Columbia, SC 29201 2020-06-30
1639719909 Benjamin Clark Watson Acupuncturist 1825 Sumter St., Columbia, SC 29201 2020-01-14
1588217574 Aneika Daley Specialist/Technologist 1211 Wheat St, Columbia, SC 29201 2019-07-19
1447803531 Gillian Taylor Shaughnessy Specialist/Technologist 147 South Marion St, Columbia, SC 29201 2019-07-18
1417417619 Maria Nelson Behavior Technician 320 Main St Suite 300, Columbia, SC 29201 2019-03-22
1679041297 Nathaniel Carl Stocker Nurse Practitioner 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 2018-11-13
1558852855 The Practice Family Medicine 1910 Gregg Street, Columbia, SC 29201 2018-05-22
1871095836 Kadesjah Samuels Behavior Technician 1320 Main Street, Suite 300, Columbia, SC 29201 2018-03-06
Find all providers in zip 29201

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619500691 Ivanka M Mora Physician Assistant 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 2020-02-18
1316579287 Christina Verzi Physician Assistant 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 2020-02-10
1225668064 Steven Ebers Physician Assistant 1201 International Dr, Columbia, MO 65202-1612 2020-01-21
1780228197 Jeremy M Barth Physician Assistant 5886 Morningbird Ln, Columbia, MD 21045-3508 2019-10-30
1730749920 Ann Marie Schlafly Physician Assistant 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 2019-06-19
1619532363 Casey Burner Skinner Physician Assistant 2126 Tugaloo Ave, Columbia, SC 29205-3330 2019-05-08
1205491040 Meghan Catherine Monk Physician Assistant 229 Route 87, Columbia, CT 06237-1050 2019-05-07
1124594999 Candace Rachel Skulkety Physician Assistant 612 Whaley St Apt 348, Columbia, SC 29201-6329 2018-10-19
1508346396 Hannah Marie Dewes Physician Assistant 3 Medical Park Rd #310, Columbia, SC 29203 2018-08-21
1295236438 Helen Mckinney Physician Assistant 234 Castlebury Dr, Columbia, SC 29229-7566 2018-02-22
Find all providers in COLUMBIA

Competitor

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City COLUMBIA
Zip Code 29201

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Dataset Information

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.

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