MRS. MARISA COHEN (NPI# 1235546003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235546003 |
| Entity Type | Individual |
| Full Name | MRS. MARISA COHEN |
| Credential | PA-C |
| Practice Address |
2600 Ferry St Lafayette IN 47904-3055 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10001679A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER PIN | 000001063420 | 01 |
| IN | 300008932 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Salem St, Lafayette, IN 479042164 | 7654488000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811346513 | Marisa Cohen | Speech-Language Pathologist | 112 West 34th Street, New York, NY 10120-0101 | 2016-06-03 |
| Street Address |
2600 FERRY ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524839 | Eric Marcus Orenstein | Orthopaedic Surgery | 2600 Ferry St, Lafayette, IN 47904-3055 | 2005-08-03 |
| 1972149359 | Paige Ubel | Occupational Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-11-21 |
| 1053953695 | Emily Ann Fusiek | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-15 |
| 1700428836 | Victoria Logan Mccain | Nurse Practitioner | 2600 Ferry St, Lafayette, IN 47904-3055 | 2019-10-10 |
| 1700361847 | Heather Richey | Physical Therapy Assistant | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-09-25 |
| 1588157218 | Shelby Lee Mitchell | Occupational Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2018-06-07 |
| 1649760885 | Elaine J Budreau | Registered Nurse | 2600 Ferry St, Lafayette, IN 47904 | 2018-05-14 |
| 1487172342 | Abhijeet Ahluwalia | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-31 |
| 1518482603 | Christine Annette Pattison | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-08-09 |
| 1013438407 | Pallavi Ram Shinde | Physical Therapist | 2600 Ferry St, Lafayette, IN 47904-3055 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| 1871900936 | Leigh Hannah Culpepper | Physician Assistant | 200 Corporate Blvd Ste 201, Lafayette, LA 70508-3870 | 2014-07-21 |
| 1265623722 | Morgan Anne Mannina-williams | Physician Assistant | 1103 Kaliste Saloom Rd Ste 100, Lafayette, LA 70508-5784 | 2007-08-08 |
| 1417085192 | Moss Street Medical Clinic Inc | Physician Assistant | 1417 Moss St, Lafayette, LA 70501-3654 | 2007-03-02 |
| 1245391960 | Lena Opitz Sevin | Physician Assistant | 105 Patriot St, Ste 101, Lafayette, LA 70508-6831 | 2006-12-13 |
| 1952413726 | Meaghan Tara Saint | Physician Assistant | 978 2nd St Ste 220, Lafayette, CA 94549-4546 | 2006-08-31 |
| 1962467894 | Lucy Judson | Physician Assistant | 2000 W South Boulder Road, Lafayette, CO 80026-1389 | 2006-04-20 |
| 1609845130 | Emergency Group of Lafayette LLC | Physician Assistant | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-03-16 |
| 1336138692 | Natalie Deshotels | Physician Assistant | 443 Heymann Blvd, Suite A, Lafayette, LA 70503-2632 | 2005-10-19 |
| Find all providers in LAFAYETTE | ||||
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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.