DR. MARISSA LARA AMBRON (NPI# 1518113570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518113570 |
| Entity Type | Individual |
| Full Name | DR. MARISSA LARA AMBRON |
| Other Name | DR. MARISSA LARA WEAKNECHT |
| Credential | D.O. |
| Practice Address |
700 High Street Williamsport PA 17701-3198 |
| Mailing Address |
1201 Grampian Blvd Suite 1k Williamsport PA 17701-1900 |
| Practice Telephone | 5703212850 |
| Practice Fax Number | 5703212851 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS014928 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0012720 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | OS014928 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
700 HIGH STREET |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
| 1679127211 | Jessica Lyn Percoco | Registered Nurse | 700 High Street, Williamsport, PA 17701 | 2019-08-01 |
| 1619440971 | Debra Kay Canellos | Nurse Practitioner | 700 High Street, Williamsport, PA 17701-3198 | 2019-01-09 |
| 1013351378 | Timothy Edward Wirth | Pharmacist | 700 High Street, Pharmacy Department, Williamsport, PA 17701 | 2013-04-17 |
| 1760730824 | Alana E John | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2012-08-21 |
| 1639432628 | Ashley Nichole Pence | Pediatrics | 700 High Street, Williamsport, PA 17701-3198 | 2012-06-25 |
| 1912266685 | Brent M Carpenter | Nurse Anesthetist, Certified Registered | 700 High Street, Williamsport, PA 17701-3198 | 2012-05-15 |
| 1235366857 | Susquehanna Physician Services | Physician Assistant | 700 High Street, Williamsport, PA 17701-3198 | 2009-06-22 |
| 1497962286 | Puneet Gupta | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2007-05-17 |
| 1285719559 | Upmc Williamsport | Clinic/Center | 700 High Street, Williamsport, PA 17701-3198 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922010180 | William R Graves | Internal Medicine | 9140 S Possum Run Rd, Williamsport, IN 47993-8266 | 2006-08-13 |
| 1023069267 | William Whiting Judson | Internal Medicine | 904 W 4th St, Williamsport, PA 17701-5890 | 2006-05-12 |
| 1700873312 | Paul Kerry Simpson | Internal Medicine | 1101 E. Third St., Williamsport, PA 17701 | 2005-09-29 |
| 1942293287 | Joanne Marie Lalli | Internal Medicine | 1201 Grampian Blvd, Ste 2d, Williamsport, PA 17701 | 2005-08-23 |
| 1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
| 1275064883 | Sameh Fawzy Million | Internal Medicine | 700 High St, Williamsport, PA 17701-3100 | 2017-03-24 |
| 1942656590 | Shrilkumar Bhatt | Internal Medicine | 700 High St, Williamsport, PA 17701-3100 | 2016-05-12 |
| 1730542838 | Paul Chiarulli | Internal Medicine | 700 High St, Williamsport, PA 17701-3100 | 2016-04-05 |
| 1588047039 | Arti Ameet | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2015-07-01 |
| 1912389073 | Sahara Neupane | Internal Medicine | 700 High St, Williamsport, PA 17701-3100 | 2015-06-25 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.