MARISSA RENEE BENNETT (NPI# 1063757979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063757979 |
| Entity Type | Individual |
| Full Name | MARISSA RENEE BENNETT |
| Other Name | MARISSA RENEE DEFONDE |
| Credential | PA-C |
| Practice Address |
99 Autumn St Aliquippa PA 15001-1301 |
| Mailing Address |
100 Shenango Ave Sharon PA 16146-1503 |
| Practice Telephone | 7243755754 |
| Practice Fax Number | 7243755756 |
| Mailing Telephone | 7243755754 |
| Mailing Fax Number | 7243755756 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OA002924 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716121 | Marissa Ann Bennett | Marriage & Family Therapist | 5503 Cahuenga Blvd Ste 201, North Hollywood, CA 91601-2944 | 2019-02-18 |
| 1518106103 | Marissa J Bennett | Counselor | 9693 Grissom Dr, Midwest City, OK 73130-3531 | 2009-02-05 |
| 1952858409 | Marissa Bennett | Behavioral Analyst | 4711 Golf Rd, 100, Skokie, IL 60076-1224 | 2016-09-01 |
| Street Address |
99 AUTUMN ST |
| City | ALIQUIPPA |
| State | PA |
| Zip Code | 15001-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740253962 | Rebecca A Rudd | Family Medicine | 99 Autumn St, Aliquippa, PA 15001-1301 | 2006-02-08 |
| 1720614092 | Brittany B Peebles | Nurse Practitioner | 99 Autumn St, Aliquippa, PA 15001-1301 | 2020-03-19 |
| 1295122968 | Casey Martin | Psychiatry & Neurology | 99 Autumn St, Aliquippa, PA 15001 | 2015-04-21 |
| 1992101802 | Adagio Health Inc. | Nutritionist | 99 Autumn St, Suite N, Aliquippa, PA 15001-1301 | 2014-11-05 |
| 1619380920 | Michael Duffy | Family Medicine | 99 Autumn St, Aliquippa, PA 15001-1301 | 2014-06-04 |
| 1710312350 | Lindsey Chappel | Nurse Practitioner | 99 Autumn St, Aliquippa, PA 15001-1301 | 2013-09-12 |
| 1336487545 | Mary Ann Kopec | Nurse Practitioner | 99 Autumn St, Aliquippa, PA 15001-1301 | 2013-01-23 |
| 1023362878 | Nadine Clare Porter | Social Worker | 99 Autumn St, Aliquippa, PA 15001-1301 | 2012-11-01 |
| 1679837454 | Carmen Antoanetta Gheorghiu | Psychiatry & Neurology | 99 Autumn St, Aliquippa, PA 15001-1301 | 2012-06-27 |
| 1992073183 | Primary Health Network | Clinic/Center | 99 Autumn St, Aliquippa, PA 15001-1301 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325150 | Sebreena Lynn Owens | Home Health Aide | 1705 Davidson Street, Aliquippa, PA 15001 | 2019-03-13 |
| 1215457213 | Christin Bryan | Physical Therapist | 206 Marble Street, Aliquippa, PA 15001 | 2017-06-21 |
| 1033568738 | Opioid Addiction Recovery Services | Clinic/Center | 2360 Hospital Dr Lower Level, Aliquippa, PA 15001 | 2016-06-03 |
| 1053792804 | Dana Cleary | Behavioral Analyst | 150 Pleasant Drive, Aliquippa, PA 15001 | 2015-06-17 |
| 1598188492 | Excel Pain Consultants LLC | Pain Medicine | 1 Hospital Dr Ste 103, Aliquippa, PA 15001 | 2014-01-28 |
| 1831361229 | Unis Dental Associates | Dentist | 2072 Broadhead Road, Aliquippa, PA 15001 | 2008-03-26 |
| 1649463951 | Lara Porter Trushel | Physician Assistant | 3113 Green Garden Rd, Aliquippa, PA 15001 | 2007-08-20 |
| 1134340128 | Kelly Gaguzis | Occupational Therapist | 170 Maplehurst Drive, Aliquippa, PA 15001 | 2007-05-01 |
| 1083777270 | James Vito Barbuto | Dentist | 2496 Brodhead Road, Ste D, Aliquippa, PA 15001 | 2006-12-18 |
| 1285645416 | Giant Eagle Inc | Pharmacy | Green Garden Plaza, Aliquippa, PA 15001 | 2006-08-11 |
| Find all providers in zip 15001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649463951 | Lara Porter Trushel | Physician Assistant | 3113 Green Garden Rd, Aliquippa, PA 15001 | 2007-08-20 |
| 1699232090 | Sally A Gillece | Physician Assistant | 400 Woodlawn Rd, Aliquippa, PA 15001-5410 | 2019-02-22 |
| 1225556665 | Annisce Ramanna | Physician Assistant | 2424 Mill St, Aliquippa, PA 15001-2222 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
| 1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
| 1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
| 1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
| 1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
| 1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
| 1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
| 1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
| 1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
| 1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
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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.