PATRICIA C MARRELLO (NPI# 1912909870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912909870 |
| Entity Type | Individual |
| Full Name | PATRICIA C MARRELLO |
| Credential | FNP |
| Practice Address |
1819 Black River Blvd N Rome NY 13440-2451 |
| Mailing Address |
1819 Black River Bvld Rome NY 13440-2451 |
| Practice Telephone | 3153387184 |
| Practice Fax Number | 3153391975 |
| Mailing Telephone | 3153387184 |
| Mailing Fax Number | 3153391975 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333620-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02438957 | 05 |
| Street Address |
1819 BLACK RIVER BLVD N |
| City | ROME |
| State | NY |
| Zip Code | 13440-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658407 | Richard John Mutty | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-06-08 |
| 1275150898 | Carey Marrello | Internal Medicine | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2020-06-30 |
| 1881102580 | Lynne Kathleen Philley | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2018-01-16 |
| 1700121894 | Rome Memorial Hospital | Internal Medicine | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2012-11-30 |
| 1265564975 | Rome Mri Associates | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2007-03-09 |
| 1306995253 | Bridget M Arquette | Nurse Practitioner | 1819 Black River Blvd N, Rome, NY 13440-2451 | 2007-01-09 |
| 1871526434 | Richard J. Mutty Md, PC | Orthopaedic Surgery | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2006-07-08 |
| 1326031725 | Mohawk Valley Open Mri, PC | Radiology | 1819 Black River Blvd N, Rome, NY 13440-2427 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
| 1871115345 | Brooke Combs | Nurse Practitioner | 200 Marable Way Nw, Rome, GA 30165-1387 | 2020-05-07 |
| 1942768296 | Tina Annette Witt | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 | 2019-03-06 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1124268784 | Linda Josephine Wynn | Nurse Practitioner | 101 Watson St Nw, Rome, GA 30165-2172 | 2009-02-23 |
| 1831379940 | Barbara Lillian Gibson | Nurse Practitioner | 80 Redmond Rd Nw, Rome, GA 30165-1534 | 2007-11-06 |
| 1427123645 | Michael Anthony Carter | Nurse Practitioner | 327 E 11th St Se, Rome, GA 30161-6206 | 2006-11-22 |
| 1902845159 | Jennifer Lynn Maher | Nurse Practitioner | 7901 Ridge Mills Rd, Rome, NY 13440-2203 | 2006-06-05 |
| 1073511283 | Lynne S Rollins | Nurse Practitioner | 3 Broad St, Rome, GA 30161-3017 | 2005-07-12 |
| Find all providers in ROME | ||||
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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.