MARISSA MCMAHON (NPI# 1548732357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548732357 |
Entity Type | Individual |
Full Name | MARISSA MCMAHON |
Credential | APN-WHNP |
Practice Address |
8590 Georgetown Rd Indianapolis IN 46268-1647 |
Mailing Address |
2074 Mobley Dr Westfield IN 46074-9896 |
Practice Telephone | 3178723115 |
Mailing Telephone | 3174301326 |
Enumeration Date | 2018-12-19 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
71009725A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209018511 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871035964 | Marissa Mcmahon | Pharmacist | 5625 O St, Suite 101, Lincoln, NE 68510-2196 | 2016-11-07 |
Street Address |
8590 GEORGETOWN RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46268-1647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457413718 | Janet Lynn Higbie | Nurse Practitioner | 8590 Georgetown Rd, Indianapolis, IN 46268-1647 | 2006-12-14 |
1023638244 | Taylor Schub | Nurse Practitioner | 8590 Georgetown Rd, Indianapolis, IN 46268-1647 | 2020-04-17 |
1033768163 | Morgan Elisabeth Smith | Nurse Practitioner | 8590 Georgetown Rd, Indianapolis, IN 46268-1647 | 2019-09-11 |
1255893723 | Liara Roe | Nurse Practitioner | 8590 Georgetown Rd, Indianapolis, IN 46268-1647 | 2019-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083116552 | Advantage Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 7710 Moller Rd, Indianapolis, IN 46268 | 2018-03-01 |
1285132324 | Seth Cochrill | Orthotist | 3445 W. 96th St., Indianapolis, IN 46268 | 2018-01-23 |
1902323371 | Erica Outlaw | Behavioral Analyst | 7732 Bancaster Drive, Indianapolis, IN 46268 | 2017-08-27 |
1649518135 | Phlebotomy Connection, LLC | Clinical Medical Laboratory | 3806 West 86th St, Suite B, Indianapolis, IN 46268 | 2013-01-18 |
1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
1306009485 | Augusta Dental Office, P.C. | Dentist | 7141 N. Michigan Rd, Indianapolis, IN 46268 | 2008-07-08 |
1326242058 | Cletis R Foster | Dentist | 3810 W 86th Street, Indpls, IN 46268 | 2007-06-14 |
1871717041 | Home Health Care Services LLC | Home Health | 5455 West 86th Street, Ste 200, Indianapolis, IN 46268 | 2007-04-12 |
1699895995 | Preferred Dental Care, PC | Dentist | 8280 North Michigan Rd, Suite A, Indianapolis, IN 46268 | 2007-03-30 |
Find all providers in zip 46268 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265077572 | Tara Lynette Flanagan | Nurse Practitioner | 2629 Waterfront Parkway East Dr Ste 375, Indianapolis, IN 46214-2026 | 2019-11-11 |
1184266827 | Bethany L. Odero | Nurse Practitioner | 550 University Blvd Ste 2041, Indianapolis, IN 46202-5149 | 2019-10-15 |
1396285656 | Wendy K Carter | Nurse Practitioner | 720 Eskenazi Avenue, Suite F2-600, Eskenazi Health, Indianapolis, IN 46202 | 2017-03-06 |
1073975546 | Margaret Cockshott | Nurse Practitioner | 640 Eskenazi Ave, Fifth Third Bank Building, Indianapolis, IN 46202-5173 | 2016-03-24 |
1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
1699038430 | Aimee Leigh Anderson | Nurse Practitioner | 7120 Clearvista Dr Ste 3200, Indianapolis, IN 46256 | 2012-06-18 |
1548589393 | Rebecca Ann Arterburn | Nurse Practitioner | 935 E Hanna Ave, Suite A, Indianapolis, IN 46227 | 2010-05-19 |
1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
1144318429 | Karen K Bohn | Nurse Practitioner | 9333 N. Meridian St, Suite 202, Indianapolis, IN 46260-1821 | 2006-10-11 |
1154309805 | Leigh Ann Frye | Nurse Practitioner | 1481 West 10th St., Richard L. Roudebush Va Medical Center, Indianapolis, IN 46202 | 2006-01-04 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46268 |
Please comment or provide details below to improve the information on MARISSA MCMAHON.
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.