MARISSA MARIE LYNCH (NPI# 1518522648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518522648 |
| Entity Type | Individual |
| Full Name | MARISSA MARIE LYNCH |
| Credential | PA-C |
| Practice Address |
100 Whetstone Pl Ste 102 St Augustine FL 32086 |
| Mailing Address |
100 Whetstone Pl Ste 102 St Augustine FL 32086-5775 |
| Practice Telephone | 9043428300 |
| Mailing Telephone | 9043428300 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7047 Deer Lodge Cir Unit 105, Jacksonville, FL 322568529 | 7276673937 |
| Street Address |
100 WHETSTONE PL STE 102 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| 1386196301 | Lenora Smith | Counselor | 6624 Us 1 S, St. Augustine, FL 32086 | 2016-10-25 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871686352 | Phillip Alex Wimpelberg | Physician Assistant | 2720 Us Highway 1 S, Ste B, St Augustine, FL 32086-6301 | 2006-10-02 |
| 1457323834 | Eugene Kinnaly | Physician Assistant | 100 Arricola Ave, St Augustine, FL 32080-4515 | 2006-02-01 |
| 1124540588 | Jessica Marie Johnson | Physician Assistant | 400 Health Park Blvd, St Augustine, FL 32086-5784 | 2017-07-07 |
| 1639542673 | Jonathan Baron | Physician Assistant | 240 Southpark Cir E, St Augustine, FL 32086-5137 | 2015-11-12 |
| 1316268311 | David Robert Skaggs | Physician Assistant | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2010-06-14 |
| 1558540500 | Earnest E Kepler | Physician Assistant | 1 Orthopaedic Pl, St Augustine, FL 32086-4202 | 2007-10-26 |
| 1679690366 | Michael R Medved | Physician Assistant | 165 Southpark Blvd, St Augustine, FL 32086-4101 | 2007-03-26 |
| 1700921020 | Brooke Michelle Perussina | Physician Assistant | 103 Anastasia Blvd, St Augustine, FL 32080 | 2007-02-21 |
| 1306981378 | Randolph W Heath | Physician Assistant | 120 Health Park Blvd Ste 1, St Augustine, FL 32086-5798 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on MARISSA MARIE LYNCH.
| 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.