DR. ANDREA MARISSA TOMASSONI (NPI# 1104896042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896042 |
| Entity Type | Individual |
| Full Name | DR. ANDREA MARISSA TOMASSONI |
| Other Name | MRS. ANDREA MARISSA GRANKO |
| Credential | MD |
| Practice Address |
521 Mt Pleasant Dr Suite 101 Scranton PA 18503-1987 |
| Practice Telephone | 5703467338 |
| Practice Fax Number | 5703413025 |
| Mailing Telephone | 5703467338 |
| Mailing Fax Number | 5703413025 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD070234L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018016230004 | 05 |
| Street Address |
521 MT PLEASANT DR SUITE 101 |
| City | SCRANTON |
| State | PA |
| Zip Code | 18503-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248668 | Geisinger Clinic | Family Medicine | 521 Mt Pleasant Dr, Scranton, PA 18503-1993 | 2020-06-01 |
| 1528616109 | Geisinger Clinic | Nutritionist | 521 Mt Pleasant Dr, Scranton, PA 18503-1993 | 2019-08-28 |
| 1770047292 | Sheilah Walter | Licensed Practical Nurse | 521 Mt Pleasant Dr, Scranton, PA 18503-1993 | 2019-01-29 |
| 1801363015 | Molly Boswell | Physician Assistant | 521 Mt Pleasant Dr, Scranton, PA 18503-1993 | 2018-10-25 |
| 1548547946 | Scranton Quincy Clinic Company LLC | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2011-11-14 |
| 1205154176 | Ashley Davis Denaples | Registered Nurse | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2010-05-17 |
| 1326230582 | Christine L Phillips | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2007-08-13 |
| 1003887308 | Bonnie Lorenzetti | Registered Nurse | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2006-01-27 |
| 1427028950 | Harold J Davis | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2006-01-26 |
| 1700856168 | Richard Theodore Behlke | Obstetrics & Gynecology | 521 Mt Pleasant Dr, Suite 101, Scranton, PA 18503-1987 | 2006-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578124624 | Vishwadhipa Venkata Voore | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Grad, Suite 1, Scranton, PA 18503 | 2019-06-27 |
| 1841859717 | Sreekant Avula | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center for Gra, Suite 1, Scranton, PA 18503 | 2019-06-13 |
| 1942866124 | Kashyap Devendrabhai Kela | Student in an Organized Health Care Education/Training Program | 111 North Washington Avenue, The Wright Center, Suite 1, Scranton, PA 18503 | 2019-05-14 |
| 1265097778 | Mary Ann Sheerer | Registered Nurse | Geisinger Women's Health Obgyn Clinic, 531 Mount Pleasant Drive, 2nd Floor, Scranton, PA 18503 | 2019-05-09 |
| 1164913950 | Nirajan Regmi | Student in an Organized Health Care Education/Training Program | 111 N Washington Avenue, Scranton, PA 18503 | 2018-05-29 |
| 1801387394 | Talha Zain Tariq | Internal Medicine | 111 N Washington Ave., Scranton, PA 18503 | 2018-05-21 |
| 1013407253 | Ashwin Thatti | Student in an Organized Health Care Education/Training Program | 111 N. Washington Avenue, Scranton, PA 18503 | 2018-05-14 |
| 1972093474 | Anjalika Gupta | Student in an Organized Health Care Education/Training Program | The Wright Center for Graduate Medical Education, 111 N Washington Ave, Scranton, PA 18503 | 2018-05-10 |
| 1073002085 | Mousa Thalji | Student in an Organized Health Care Education/Training Program | 111 N. Washington Ave., Scranton, PA 18503 | 2018-05-04 |
| 1861999849 | Tomara Wilding | Counselor | 201 Lackawanna Ave Ste 302, Scranton, PA 18503 | 2018-04-06 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942427455 | Maternal & Family Health Services, Inc. | Obstetrics & Gynecology | 315 Colfax Ave, Third Floor, Scranton, PA 18510-2524 | 2007-04-19 |
| 1801905583 | Antoine A Naim | Obstetrics & Gynecology | 521 Mt Pleasant Dr Ste 101, Scranton, PA 18503-1993 | 2006-08-29 |
| 1699762302 | Kristine Mcnulty | Obstetrics & Gynecology | 748 Quincy Ave, Ste 2a, Scranton, PA 18510-1739 | 2005-09-29 |
| 1518950914 | Barbara Plucknett | Obstetrics & Gynecology | 743 Jefferson Ave, Suite 203, Scranton, PA 18510-1635 | 2005-08-31 |
| 1861498321 | Richard John Burns Jr. | Obstetrics & Gynecology | 321 Spruce St, Ste 609, Scranton, PA 18503-1409 | 2005-06-21 |
| 1114306123 | Anthony Christopher Lewis | Obstetrics & Gynecology | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2015-05-22 |
| 1407240633 | Megan Beaton | Obstetrics & Gynecology | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2015-03-25 |
| 1043638240 | Melissa Grace Marji | Obstetrics & Gynecology | 521 Mt Pleasant Dr Ste 101, Scranton, PA 18503 | 2014-04-03 |
| 1669794707 | Jennifer Marie Swenski | Obstetrics & Gynecology | 748 Quincy Ave, Suite 2a, Scranton, PA 18510-1739 | 2010-02-16 |
| 1376706713 | Jennifer P Reason | Obstetrics & Gynecology | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2008-07-07 |
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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.