DR. THOMAS R MARRA (NPI# 1841307303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841307303 |
| Entity Type | Individual |
| Full Name | DR. THOMAS R MARRA |
| Other Name | THOMAS RUSSELL MARRA |
| Credential | MD |
| Practice Address |
1575 N River Center Dr #112 Milwaukee WI 53212 |
| Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
| Practice Telephone | 4142838444 |
| Practice Fax Number | 4142838450 |
| Mailing Telephone | 4146476326 |
| Mailing Fax Number | 4146718860 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
19523 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | AM7295036 | 01 | |
| WI | 30205000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952468050 | Thomas Marra | Psychologist | 550 Wave St, Monterey, CA 93940-1427 | 2007-01-02 |
| Street Address |
1575 N RIVER CENTER DR #112 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902815673 | Deborah Bletzinger Vandommelen | Family Medicine | 1575 N River Center Dr, Milwaukee, WI 53212 | 2006-08-05 |
| 1174630420 | Ann M Rohrer | Nurse Practitioner | 1575 N River Center Dr, Milwaukee, WI 53212 | 2006-08-24 |
| 1992812416 | Karen Ann (a.) Ivantic | Nurse Practitioner | 1575 N River Center Dr, Milwaukee, WI 53212 | 2006-08-23 |
| 1720193923 | Julia A Schumacher | Nurse Practitioner | 1575 N River Center Dr, Milwaukee, WI 53212-3978 | 2006-08-20 |
| 1568577518 | Charles T Gorie | Physician Assistant | 1575 N River Center Dr, Milwaukee, WI 53212 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295919173 | Denis Nathan | Psychiatry & Neurology | 2589 N Terrace Ave, Milwaukee, WI 53211-3821 | 2007-12-27 |
| 1235355496 | Ayman Ahmad Gheith | Psychiatry & Neurology | 2801 W Kinnickinnic River Pkwy Ste 630, Milwaukee, WI 53215-5212 | 2007-04-17 |
| 1881764652 | Neurowisconsin Sc | Psychiatry & Neurology | 3033 S 27th St, 302, Milwaukee, WI 53215 | 2006-11-09 |
| 1669405742 | Marc Jeffrey Novom | Psychiatry & Neurology | 8989 N Port Washington Road, Suite 122, Milwaukee, WI 53217 | 2006-07-09 |
| 1356389258 | Veronica N Sosa | Psychiatry & Neurology | 2801 W Kinnickinnic Pkwy, Suite 570, Milwaukee, WI 53215-3669 | 2006-06-03 |
| 1770534513 | Hendrikus G Krouwer | Psychiatry & Neurology | 2350 N Lake Dr. Ste G01, Csm Cancer Center-milwaukee, Milwaukee, WI 53211-4528 | 2006-05-15 |
| 1194776922 | Serena Wan-si Wan-si Hung | Psychiatry & Neurology | Froedtert & Med College Clin - West, 9200 West Wisconsin Avenue, Milwaukee, WI 53226 | 2006-05-15 |
| 1861489536 | Rizwanullah Arain | Psychiatry & Neurology | 6026 W Lisbon Ave, Milwaukee, WI 53210-2114 | 2005-09-28 |
| 1689136129 | Ryan Lee | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2019-04-03 |
| 1700316122 | Kevin Chow | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-06-18 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on DR. THOMAS R MARRA.
| 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.