DR. MARISSA GLORIA LEVINE (NPI# 1396278214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396278214 |
| Entity Type | Individual |
| Full Name | DR. MARISSA GLORIA LEVINE |
| Credential | D.O. |
| Practice Address |
2600 Sixth St Sw Canton OH 44710-1702 |
| Practice Telephone | 3303634922 |
| Mailing Telephone | 3303634922 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019753 | Marissa Janae Levine | Family Medicine | 109 Governor St, 13th Floor, Richmond, VA 23219-3623 | 2006-02-01 |
| 1780235051 | Marissa Levine | Physical Therapist | 16835 Deer Creek Dr Ste 120, Spring, TX 77379-5803 | 2019-09-26 |
| Street Address |
2600 SIXTH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619258 | Roberto Novoa | Specialist | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2005-06-15 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1023633088 | Harry Garrett Oldland | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-06-15 |
| 1063036754 | Mena Habib Morcos | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-29 |
| 1649891185 | Kathy Jane Minger | Registered Nurse | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-06 |
| 1376164186 | Abigail Chauvin | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-04 |
| 1285254508 | Erik Keim | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1568082881 | Samantha Patterson | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1104446327 | Varun Rakesh Ravindran | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1306466537 | Brittany Gast | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144867 | Jacquelyn Rain Kelly | Student in an Organized Health Care Education/Training Program | 325 Hillgrove Dr, Canton, GA 30114-8602 | 2020-08-17 |
| 1528686912 | Emily M Dochterman | Student in an Organized Health Care Education/Training Program | 28720 State Highway 16, Canton, MO 63435-3005 | 2020-07-11 |
| 1225654270 | Yuvraj Bhagat | Student in an Organized Health Care Education/Training Program | 43285 Stonington Ct, Canton, MI 48188-1786 | 2020-06-24 |
| 1568085348 | Janki Patel | Student in an Organized Health Care Education/Training Program | 1196 Canterbury Cir, Canton, MI 48187-3810 | 2020-05-27 |
| 1023630563 | Angad Preet Singh | Student in an Organized Health Care Education/Training Program | 2561 Knollwood Dr, Canton, MI 48188-2271 | 2020-05-06 |
| 1841828118 | Megha Trushar Patel | Student in an Organized Health Care Education/Training Program | 50800 Redding Ct, Canton, MI 48187-4451 | 2020-03-31 |
| 1427618727 | Michelle Mcneil | Student in an Organized Health Care Education/Training Program | 10 Hunter Ln, Canton, MA 02021-1731 | 2019-06-18 |
| 1962067157 | Moleca Mahmoud Ghannam | Student in an Organized Health Care Education/Training Program | 49918 Hancock St, Canton, MI 48188-6660 | 2019-05-03 |
| 1235696477 | Jordan Nameth | Student in an Organized Health Care Education/Training Program | 7444 Byron Ave Ne, Canton, OH 44721-1907 | 2019-02-25 |
| 1205311610 | Erika Marie Roschinsky | Student in an Organized Health Care Education/Training Program | 44757 Patrick Dr, Canton, MI 48187-2547 | 2018-10-02 |
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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.