MS. MARISA PHILLIPS (NPI# 1528554045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528554045 |
| Entity Type | Individual |
| Full Name | MS. MARISA PHILLIPS |
| Credential | PA-C |
| Practice Address |
40 George Karl Blvd Williamsville NY 14221-7183 |
| Practice Telephone | 7162181000 |
| Mailing Telephone | 7182181000 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
022144-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871764357 | Marisa M Phillips | Registered Nurse | 313 Larkin St, Eagle, WI 53119-2233 | 2008-03-12 |
| 1588751168 | Marisa Jon Phillips | Counselor | 3402 Daniel Mccall Dr Ste 21, Lufkin, TX 75904-7191 | 2006-10-06 |
| 1962771154 | Marisa Phillips | Occupational Therapist | 411 N Washington Ave, Suite 4000, Dallas, TX 75246-1713 | 2011-12-19 |
| 1770712648 | Marisa K Phillips | Nurse Practitioner | 3676 Parker Blvd, Pueblo, CO 81008-2212 | 2009-07-13 |
| Street Address |
40 GEORGE KARL BLVD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285739 | Douglas B Moreland | Neurological Surgery | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2005-12-14 |
| 1063073468 | Andrea Parish | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-26 |
| 1134788037 | Collin Krasowski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-13 |
| 1386111433 | Shelby Miranda Hall | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2018-10-26 |
| 1578056024 | Alicia Valerie Jancevski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2018-06-10 |
| 1841719572 | Julia Gajewski | Nurse Practitioner | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2017-09-13 |
| 1629598743 | Brian Travis Geller | Chiropractor | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2017-06-20 |
| 1770961427 | Sunjay Kapoor | Chiropractor | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2015-05-14 |
| 1174939425 | Michael Tworkowski | Pain Medicine | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2014-07-08 |
| 1619304128 | Tashia Sperry | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2013-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780127 | Kelli Reinhardt | Physician Assistant | 400 International Dr Ste 2, Williamsville, NY 14221-5771 | 2017-06-15 |
| 1780626879 | Nicole Ann Schmidt | Physician Assistant | 18 Limestone Drive, Suite 5, Williamsville, NY 14221 | 2006-06-12 |
| 1740266139 | Brian Patrick Laplante | Physician Assistant | 192 Park Club Lane Suite 100, Williamsville, NY 14221 | 2005-12-19 |
| 1063073468 | Andrea Parish | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-26 |
| 1134788037 | Collin Krasowski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-13 |
| 1023597200 | Shannon Renee Irish | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2018-08-09 |
| 1306297874 | Mark Edgar Kerner | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2016-06-27 |
| 1144606351 | Samantha K Black | Physician Assistant | 825 Wehrle Dr, Williamsville, NY 14221 | 2015-08-11 |
| 1417343740 | Nolan F Niespodzinski | Physician Assistant | 36 N Union Rd, Williamsville, NY 14221-5383 | 2015-04-14 |
| 1790181659 | Lauren Marie Whitney | Physician Assistant | 5225 Sheridan Dr, Williamsville, NY 14221-3573 | 2014-11-05 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on MS. MARISA PHILLIPS.
| 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.