JESSICA ROBIN MARCUS (NPI# 1609427350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609427350 |
| Entity Type | Individual |
| Full Name | JESSICA ROBIN MARCUS |
| Practice Address |
Rr 103 Supply Street Gary WV 24836 |
| Mailing Address |
Po Box 507 Rr 103 Supply Street Gary WV 24836 |
| Practice Telephone | 3044482101 |
| Practice Fax Number | 3044483217 |
| Mailing Telephone | 3044482101 |
| Mailing Fax Number | 3044483217 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
103775 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104284207 | Jessica Marcus | Dietitian, Registered | 412 Colusa Ave, Kensington, CA 94707-1211 | 2016-02-03 |
| 1740543289 | Jessica Marcus | Specialist | 4711 12th Ave, Apt. F6, Brooklyn, NY 11219-2540 | 2012-06-20 |
| 1649475401 | Jessica D. Marcus | Pediatrics | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2007-06-20 |
| Street Address |
RR 103 SUPPLY STREET |
| City | GARY |
| State | WV |
| Zip Code | 24836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326088 | John Roger Ray | Family Medicine | Rr 103 Supply Street, Gary, WV 24836-0507 | 2005-09-19 |
| 1639578065 | Tug River Health Association, Inc. | Clinic/Center | Rr 103 Supply Street, Gary, WV 24836-0507 | 2014-08-21 |
| 1942559364 | Keisha R Saunders | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836-0507 | 2012-08-30 |
| 1285989152 | Angela G Mckinney | Nurse Practitioner | Rr 103 Supply Street, Gary, WV 24836-0507 | 2012-07-17 |
| 1164658118 | Joseph Clary Kirkpatrick | General Practice | Rr 103 Supply Street, Gary, WV 24836-0507 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1912556507 | Tamera Beth Ball | Nurse Practitioner | 150 Venus Drive, Gary, WV 24836 | 2019-09-06 |
| 1366674541 | Veronica Marie Brown | Dentist | Rt. 103 Supply Street, Gary, WV 24836 | 2009-08-20 |
| 1558528554 | Cristie D Hatfield | Dental Hygienist | Route 103 Supply St, Gary, WV 24836 | 2008-05-19 |
| 1548382435 | Tug River Health Association | Clinic/Center | Rt 103 Supply St, Gary, WV 24836 | 2007-04-04 |
| 1407922891 | Tug River Health Association, Inc | Clinic/Center | Us Route 103 Supply St, Gary, WV 24836 | 2006-11-28 |
| 1922184266 | Tug River Health Association, Inc | Clinic/Center | Route 103 Supply St., Gary, WV 24836 | 2006-10-30 |
| 1992887392 | John W Balaban | Dentist | Route 103, Supply St, Gary, WV 24836 | 2006-10-19 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1174501068 | Tug River Health Association, Inc | Clinic/Center | Us Rt 52 Main Street, Gary, WV 24836 | 2006-01-03 |
| Find all providers in zip 24836 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381760 | Sharnita L Rice | Nurse Practitioner | 2104 W 12th Ave, Gary, IN 46404-2375 | 2019-11-20 |
| 1912556507 | Tamera Beth Ball | Nurse Practitioner | 150 Venus Drive, Gary, WV 24836 | 2019-09-06 |
| 1689927691 | Monique Shantae Rash | Nurse Practitioner | Rr 103 Supply Strwet, Gary, WV 24836-0507 | 2012-10-16 |
| 1033302955 | Nicole Yvette Richards | Nurse Practitioner | 3900 Calhoun St, Gary, IN 46408-1753 | 2007-08-23 |
| 1285723445 | Sharon R Totten | Nurse Practitioner | 1145 W 5th Ave, Gary, IN 46402-1704 | 2006-10-12 |
| 1336236611 | Ruby J Bailey | Nurse Practitioner | 2269 West 25th Avenue, Gary, IN 46404-4509 | 2006-10-06 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1437760519 | Bianca Yasmin Rafidia Vargas | Nurse Practitioner | 650 Grant St, Gary, IN 46404-1533 | 2020-08-12 |
| 1336761576 | Lakeysha Patrice Freeny | Nurse Practitioner | 650 Grant St Ste 7, Gary, IN 46404-1551 | 2020-05-11 |
| 1578115234 | Channae Watkins | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-07-12 |
| Find all providers in GARY | ||||
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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.