MARISSA IRENE JOHNSON (NPI# 1447703525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447703525 |
| Entity Type | Individual |
| Full Name | MARISSA IRENE JOHNSON |
| Credential | PA-C |
| Practice Address |
489 State St Bangor ME 04401-6616 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079737000 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1616 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081345 | Marissa Noelle Johnson | Nurse Practitioner | 14820 N Rome Ave, Tampa, FL 33613-1542 | 2018-11-05 |
| 1184149825 | Marissa Ann Johnson | Chiropractor | 257 Prospect Ave Ste 16, West Orange, NJ 07052-4210 | 2017-08-03 |
| 1679921290 | Marissa Johnson | Specialist/Technologist | 7153 Us Highway 6, Linesville, PA 16424-8155 | 2016-05-25 |
| 1659992154 | Marissa Kay Johnson | Social Worker | 495 E Main St, Columbus, OH 43215-5349 | 2020-05-06 |
| 1477113678 | Marissa Johnson | Physical Therapist | 3145 W Clark Rd Ste 102, Ypsilanti, MI 48197-1120 | 2019-06-19 |
| 1588167324 | Marissa Johnson | Student in an Organized Health Care Education/Training Program | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-03-16 |
| 1386015626 | Marissa Johnson | Counselor | 1126 Sam Newell Rd, Suites C & D, Matthews, NC 28105-5083 | 2015-10-13 |
| 1629474028 | Marissa Johnson | Physician Assistant | 901 W Ben White Blvd, Suite 201, Austin, TX 78704-6903 | 2014-11-12 |
| 1053549337 | Marissa Johnson | Occupational Therapist | 17615 85th Avenue Ct E, Puyallup, WA 98375-1859 | 2009-06-25 |
| 1396997862 | Marissa Marie Johnson | Physician Assistant | 6620 Schaefer Rd, Dearborn, MI 48126-4502 | 2008-10-16 |
| Street Address |
489 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789147 | Eastern Maine Medical Center | General Acute Care Hospital | 489 State St, Bangor, ME 04401-6616 | 2005-06-13 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1558983148 | Lana Caroline Hoertz | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2020-05-18 |
| 1427696954 | Kelsey A Mcgrath | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-12-16 |
| 1528629888 | Jaclyn Young | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2019-06-26 |
| 1568928018 | Emily Bohm | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-20 |
| 1144786971 | Andrew Hopkins | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-18 |
| 1750847083 | Daniel Patrick Conway | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2019-02-12 |
| 1306317847 | Matthew Daniel Kent | Nurse Anesthetist, Certified Registered | 489 State St, Bangor, ME 04401-6616 | 2018-12-10 |
| 1750869061 | Brian Marsh | Nurse Practitioner | 489 State St, Bangor, ME 04401 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1548259211 | Corianne L O'donnell | Physician Assistant | 103 Skyline Rd, Bangor, ME 04401-2158 | 2005-10-17 |
| 1497751812 | Nelson E Meaker | Physician Assistant | 133 Corporate Dr Ste 5, Bangor, ME 04401-4312 | 2005-06-21 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1710521950 | Allison Rose Bassam Harb | Physician Assistant | 931 Union St, Bangor, ME 04401-3011 | 2019-10-31 |
| 1306323613 | Ameena Fauq | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2018-07-20 |
| 1588140347 | Brandy Eldridge | Physician Assistant | 55 Broadway, Bangor, ME 04401-5201 | 2018-07-16 |
| 1891289963 | Benjamin Schmidt | Physician Assistant | 489 State St, Bangor, ME 04401-6616 | 2018-06-21 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1952845638 | Nikolaus Thomas Hurley | Physician Assistant | 1 Northeast Dr, Bangor, ME 04401-4332 | 2016-12-14 |
| Find all providers in BANGOR | ||||
Please comment or provide details below to improve the information on MARISSA IRENE JOHNSON.
| 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.