MS. MARY LYNN MARSH (NPI# 1578542981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578542981 |
| Entity Type | Individual |
| Full Name | MS. MARY LYNN MARSH |
| Credential | PA-C |
| Practice Address |
1853 Oconnell Blvd Fort Carson CO 80913-4055 |
| Mailing Address |
1522 W Costilla St Colorado Springs CO 80904-4247 |
| Practice Telephone | 7195245577 |
| Mailing Telephone | 7194825122 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
361900 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417371915 | Mary Marsh | Counselor | 600 Central Ave Ste 16, Great Falls, MT 59401-3141 | 2014-02-05 |
| 1154750404 | Mary Marsh | Social Worker | 1917 W Park Dr # A, North Wilkesboro, NC 28659-3585 | 2013-11-07 |
| 1205333804 | Mary Elizabeth Marsh | Counselor | 4020 Folker St, Anchorage, AK 99508-5321 | 2018-04-10 |
| 1093149890 | Mary Marsh | Physical Therapist | 1901 W Harrison St, Lsh/ot/pt Dept Clinic N, Chicago, IL 60612-3714 | 2013-08-28 |
| 1538474259 | Mary Katherine Marsh | Registered Nurse | 609 N Shore Dr, Bellingham, WA 98226-4414 | 2010-08-18 |
| 1053566265 | Mary Catherine Marsh | Nurse Practitioner | 501 Morris St, Charleston Area Medical Center, Inc., Charleston, WV 25301-1326 | 2008-12-02 |
| 1891801130 | Mary Ellyn Marsh | Counselor | 3832 N Meridian Ave, Oklahoma City, OK 73112-2820 | 2006-08-21 |
| 1588682660 | Mary Kinney Marsh | Counselor | 61 Bradley St, 2nd Floor, Suite 4, Bristol, CT 06010-5103 | 2006-07-17 |
| 1063474039 | Mary Lou Marsh | Anesthesiology | 9888 Genesee Ave, La Jolla, CA 92037-1276 | 2006-04-05 |
| Street Address |
1853 OCONNELL BLVD |
| City | FORT CARSON |
| State | CO |
| Zip Code | 80913-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588961031 | Michael J Andrews | Pharmacist | 1853 Oconnell Blvd, Buliding 1042, Fort Carson, CO 80913-4055 | 2011-02-18 |
| 1144525197 | Kimberly Ann Sandusky | Social Worker | 1853 Oconnell Blvd, Bldg 1056, Fort Carson, CO 80913-4055 | 2011-01-24 |
| 1659515260 | Raymond John Taylor | Social Worker | 1853 Oconnell Blvd, Fort Carson, CO 80913-4055 | 2009-04-27 |
| 1376714105 | Susan J Roeth | Social Worker | 1853 Oconnell Blvd, Bldg 1056, Room 9, Fort Carson, CO 80913-4055 | 2008-03-19 |
| 1659428209 | Anne Elizabeth Fuller | Physician Assistant | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2007-01-05 |
| 1932139748 | Dalton Maples Jr. | Physician Assistant | 1853 Oconnell Blvd, Building 1042, Fort Carson, CO 80913-4055 | 2006-07-04 |
| 1073587259 | Lori Letitia Peterson | Registered Nurse | 1853 Oconnell Blvd, Bldg. 1042, Fort Carson, CO 80913-4055 | 2006-02-15 |
| 1700866829 | Dorothy Boschert | Registered Nurse | 1853 Oconnell Blvd, Room 120, Fort Carson, CO 80913-4055 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651498 | Christopher M Juneau | Physical Therapist | Us Air Force/ Fort Carson, 8420 Skyraider Rd, Colorado Springs, AA 80913 | 2020-08-28 |
| 1003433640 | Denise Marie Cacho | Dentist | Smith Dental Clinic, 2280 Hogan St. Blgd 1561, Fort Carson, CO 80913 | 2020-06-30 |
| 1497378053 | Ivan Sergeyevich Koutsopatriy | Dentist | Us Army Dental Health Activity 1667 Cochrane Circle, Bldg 7495, Fort Carson, CO 80913 | 2020-05-18 |
| 1396293478 | Kayla Howerton | Audiologist | 8901 Wetzel Ave, Bldg 1525, Fort Carson, CO 80913 | 2016-09-16 |
| 1922472125 | Danell Pugh | Social Worker | Bldg 1657, Fort Carson, CO 80913 | 2015-11-25 |
| 1750761136 | Colin Michael Kenny | Internal Medicine | Evans Army Community Hospital. 1650 Cochrane Cir B7500, Fort Carson, CO 80913 | 2015-06-01 |
| 1740689736 | Rachel Edwards | Speech-Language Pathologist | Evans Community Hospital, 1650 Cochrane Circle, Fort Carson, CO 80913 | 2014-08-15 |
| 1841617859 | Douglas Foote | Social Worker | 1657 Prussman, Ft. Carson, CO 80913 | 2014-03-27 |
| 1649619396 | Brigette Marie Grimes | Dietitian, Registered | Building 1435, 4th Infantry Division, Division Surgeon, Fort Carson, CO 80913 | 2013-06-17 |
| 1467895318 | Evans Army Community Hospital | Clinic/Center | Bldg 2361 Titus Blvd, Ft Carson, CO 80913 | 2013-04-10 |
| Find all providers in zip 80913 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1295396513 | Joseph D Timmermeyer | Physician Assistant | 324 Fossil Dr, Johnstown, CO 80534-7452 | 2019-06-26 |
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1225533136 | Rafael Eduardo Castillo | Physician Assistant | 6200 Habitat Dr Apt 2052, Boulder, CO 80301-3235 | 2018-03-25 |
| 1972026276 | Sophia Jane Wagner | Physician Assistant | 2643 Patterson Rd Ste 403, Grand Junction, CO 81506-1937 | 2017-07-19 |
| 1326588732 | Elise Nicole Van Etten | Physician Assistant | 13123 E 16th Ave # 323, Anschutz Medical Campus, Aurora, CO 80045-7106 | 2017-03-03 |
| 1336691914 | Patrick Craig Ford | Physician Assistant | 6500 29th St Ste 106, Greeley, CO 80634-8386 | 2016-10-28 |
| 1942751904 | 5280 Surgical Assisting Professional LLC | Physician Assistant | 10233 Bluffmont Dr, Lone Tree, CO 80124-5559 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT CARSON |
| Zip Code | 80913 |
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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.