MARISSA LEE FIDLER (NPI# 1952911349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952911349 |
| Entity Type | Individual |
| Full Name | MARISSA LEE FIDLER |
| Credential | PA |
| Practice Address |
500 N 5th St Hot Springs SD 57747-1480 |
| Mailing Address |
2104 Grant Ave Mcdonough GA 30252-7681 |
| Practice Telephone | 6057452000 |
| Mailing Telephone | 7707138911 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 N 5TH ST |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851365639 | Lori Vosika | Social Worker | 500 N 5th St, Vamc Mhs - 3, Hot Springs, SD 57747-1480 | 2006-02-16 |
| 1073140273 | Margaret Anable | Counselor | 500 N 5th St, Hot Springs, SD 57747-1480 | 2020-03-26 |
| 1134772908 | Spring Moore | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-07-22 |
| 1104485572 | Mercedes Adeline Harrison | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-06-10 |
| 1396302709 | Anthony Stephen Mastroianni | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-21 |
| 1790340230 | Lanette M Francis | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-09 |
| 1366007668 | Holly Cotton | Social Worker | 500 N 5th St, Hot Springs, SD 57747-1480 | 2019-05-02 |
| 1760974034 | Jaime Lynn Cantu | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-06-03 |
| 1124510771 | Cassie M Schmidt | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-05-30 |
| 1215445911 | Gayle Marie Tonsager | Nutritionist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891209086 | Mallory J Melby | Physician Assistant | 1662 Higdon Ferry Rd Ste 300, Hot Springs, AR 71913-6982 | 2017-11-27 |
| 1538634837 | Courtney L Dunagan | Physician Assistant | 100 Mcgowan Ct, Hot Springs, AR 71913-6452 | 2018-10-12 |
| 1760957351 | Rebecca E Schultz | Physician Assistant | 1 Mercy Ln, Hot Springs, AR 71913-6442 | 2018-10-10 |
| 1942785118 | Rosemary E Allen | Physician Assistant | 1 Mercy Ln Ste 401, Hot Springs, AR 71913-6441 | 2018-10-03 |
| 1699215079 | Keli E. Hall | Physician Assistant | 3633 Central Ave, Ste. N, Hot Springs, AR 71913-6475 | 2017-03-03 |
| 1639523392 | Yvonne Elizabeth Blumhoefer | Physician Assistant | 1910 Malvern Ave, Hot Springs, AR 71901-7752 | 2016-04-19 |
| 1942589510 | Jarrett W Stark | Physician Assistant | 1662 Higdon Ferry Rd, Suite 300, Hot Springs, AR 71913-6999 | 2011-08-12 |
| 1598998353 | Jared A Wilson | Physician Assistant | 1662 Higdon Ferry Road, Ste 300, Hot Springs, AR 71913 | 2009-08-27 |
| 1518190370 | David Michael Moore | Physician Assistant | 1662 Higdon Ferry Road, Ste 300, Hot Springs, AR 71913 | 2009-08-27 |
| 1235332529 | Emily L Garza | Physician Assistant | 3604 Central Ave, Suite B, Hot Springs, AR 71913-6403 | 2007-06-06 |
| Find all providers in HOT SPRINGS | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
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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.