MARISA ROSE GRAHAM (NPI# 1194939199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194939199 |
| Entity Type | Individual |
| Full Name | MARISA ROSE GRAHAM |
| Credential | PA-C |
| Practice Address |
1818 Henderson St Columbia SC 29201-2619 |
| Mailing Address |
743 Folly Rd Charleston SC 29412-3432 |
| Practice Telephone | 8037582602 |
| Practice Fax Number | 8032538896 |
| Mailing Telephone | 8287622360 |
| Mailing Fax Number | 8287622340 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0010-01328 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1154 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942464086 | Marisa Jean Graham | Pharmacist | 315 Emerald Hills Dr, Billings, MT 59101-7227 | 2008-07-17 |
| Street Address |
1818 HENDERSON ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457317224 | Shirley Price Barnes | Family Medicine | 1818 Henderson St, Columbia, SC 29201-2619 | 2006-04-21 |
| 1306293998 | Colin Stuart Turnnidge II | Physician Assistant | 1818 Henderson St, Columbia, SC 29201-2619 | 2016-05-24 |
| 1588000202 | Janel Randolph Sabb | Physician Assistant | 1818 Henderson St, Columbia, SC 29201-2619 | 2013-05-21 |
| 1760727986 | Michael Charles Miller | Physical Therapist | 1818 Henderson St, Columbia, SC 29201-2619 | 2012-11-28 |
| 1013266949 | Elmer Gordon Long | Family Medicine | 1818 Henderson St, Columbia, SC 29201-2619 | 2012-09-06 |
| 1083993158 | Virginia Lee Greene | Family Medicine | 1818 Henderson St, Columbia, SC 29201-2619 | 2011-08-08 |
| 1659500288 | Anthony Frederick Lavigne | Physical Therapist | 1818 Henderson St, Columbia, SC 29201-2619 | 2009-07-02 |
| 1154508265 | Doctors Care, Pa | Emergency Medicine | 1818 Henderson St, Columbia, SC 29201-2619 | 2008-01-31 |
| 1568560571 | Doctors Care, P.a. | Pediatrics | 1818 Henderson St, Columbia, SC 29201-2619 | 2006-09-21 |
| 1144238833 | Ana Josefina Zavadzkas | Family Medicine | 1818 Henderson St, Columbia, SC 29201-2619 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| 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 |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.