MICHAEL MARROQUIN (NPI# 1295256477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295256477 |
| Entity Type | Individual |
| Full Name | MICHAEL MARROQUIN |
| Credential | PA-C |
| Practice Address |
205 S Front St Harrisburg PA 17104-1619 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7172318555 |
| Practice Fax Number | 7172318568 |
| Mailing Telephone | 7172318555 |
| Mailing Fax Number | 7172318568 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA059193 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 St Paul Dr Ste 205, Chambersburg, PA 172011033 | 7172176881 | 7172176889 |
| 2005 Technology Pkwy Ste 300, Mechanicsburg, PA 170509413 | 7172318555 | 7172318568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326415290 | Michael Marroquin | Behavioral Analyst | 26062 73rd Ave, Glen Oaks, NY 11004-1030 | 2015-08-27 |
| 1306385554 | Michael Marroquin | Counselor | 1414 N California St, Stockton, CA 95202-1515 | 2017-02-21 |
| 1679900815 | Michael Daniel Marroquin | Pharmacist | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2013-10-02 |
| Street Address |
205 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17104-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528030491 | Kantor and Tkatch Associates PC | Internal Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2006-02-06 |
| 1316556566 | Kelly Anna Fetterhoff | Nurse Practitioner | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-07-23 |
| 1932722121 | Benjamin Ravichander | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c, Harrisburg, PA 17104 | 2020-05-21 |
| 1184253452 | O'hara Kay Haley | Surgery | 205 S Front St, Brady 916, Harrisburg, PA 17104-1619 | 2020-04-07 |
| 1518596105 | Catherine Bongka Baye Easton | Obstetrics & Gynecology | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1346879871 | Steven Millner | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-06 |
| 1861021727 | George Chachati | Surgery | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-04-03 |
| 1689204927 | Kayla Wentzel | Physician Assistant | 205 S Front St, Harrisburg, PA 17104-1619 | 2020-01-24 |
| 1609438175 | Yujian Chen | Podiatrist | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-03 |
| 1649832379 | Syed Rasikh Jaffery | Emergency Medicine | 205 S Front St, Harrisburg, PA 17104-1619 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531292 | Siddharth Goel | Internal Medicine | 205 S Front St Upmc Pinnacle, Internal Medicine Residen, Suite 3c, Harrisburg, PA 17104 | 2020-06-03 |
| 1114541364 | Kolsoum Yari | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle Internal Medicin, Harrisburg, PA 17104 | 2020-06-03 |
| 1225652696 | Uba Chinyere Udeh | Internal Medicine | 205 S Front St. Suite 3c, Harrisburg, PA 17104 | 2020-06-02 |
| 1568086932 | Firdausi Abubakar Matawalle | Student in an Organized Health Care Education/Training Program | 205 S Front Street, Suite 3c Upmc Pinnacle Hospital, Harrisburg, PA 17104 | 2020-06-02 |
| 1467075853 | Medhavi Rajput | Student in an Organized Health Care Education/Training Program | 205 S Front St, Suite 3c Upmc Pinnacle, Internal Medici, Harrisburg, PA 17104 | 2020-05-20 |
| 1659992147 | Manpreet Sidhu | Internal Medicine | Upmc Pinnacle Hospitals 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-06 |
| 1336760230 | Mahaswi Sirangi | Internal Medicine | Upmc Pinnacle Hospitals, 205 S Front Street, Suite 3c, Harrisburg, PA 17104 | 2020-05-01 |
| 1033748488 | Abhishek Patel | Emergency Medicine | 205 South Front Street Brady 3, Harrisburg, PA 17104 | 2020-04-07 |
| 1306496443 | Jinah Kim | Student in an Organized Health Care Education/Training Program | 205 S. Front St., Brady Building, Harrisburg, PA 17104 | 2019-09-19 |
| 1356903744 | Krupa Patel | Podiatrist | 205 S Front Street Brady Hall 905, Harrisburg, PA 17104 | 2019-07-05 |
| Find all providers in zip 17104 | ||||
| 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 |
|---|---|---|---|---|
| 1821613589 | Jessica Ann Hoffman | Physician Assistant | 675 Gregs Dr Apt 78, Harrisburg, PA 17111-5545 | 2020-06-09 |
| 1881253912 | Jacob Moses Doan | Physician Assistant | 815 Sir Thomas Ct, Harrisburg, PA 17109-4839 | 2019-06-12 |
| 1376058594 | Cara Kraus | Physician Assistant | 129 Curvin Dr, Harrisburg, PA 17112-2964 | 2017-12-11 |
| 1497150288 | Ronald Wayne Jones | Physician Assistant | 3827 Over Dr, Harrisburg, PA 17109-1230 | 2014-10-23 |
| 1831447960 | Heather Lynn Mychak | Physician Assistant | 2201 Forest Hills Dr Ste 7, Harrisburg, PA 17112-1089 | 2012-08-21 |
| 1659696714 | Daniel J Church | Physician Assistant | 20 Capital Dr, Harrisburg, PA 17110-9446 | 2010-04-01 |
| 1932269701 | Leanne H Deneal | Physician Assistant | 28 Veteran's Drive, Harrisburg, IL 62946 | 2006-12-11 |
| 1619990603 | Sanford Clinic | Physician Assistant | 410 N Cliff Ave, Harrisburg, SD 57032-2253 | 2006-07-25 |
| 1326009812 | Thomas W. Ladley | Physician Assistant | 6301 Grayson Rd, Harrisburg, PA 17111-3331 | 2006-04-01 |
| 1770580185 | Kimberly Anne Walker | Physician Assistant | 1199 Colonial Rd, Harrisburg, PA 17112-1900 | 2005-06-30 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17104 |
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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.