MARISA SIEKIERKA (NPI# 1578688362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578688362 |
| Entity Type | Individual |
| Full Name | MARISA SIEKIERKA |
| Credential | PA-C |
| Practice Address |
1789 N Keyser Ave Medical Associates of Nepa Scranton PA 18508 |
| Practice Telephone | 5709691904 |
| Practice Fax Number | 5709692916 |
| Mailing Telephone | 5709691904 |
| Mailing Fax Number | 5709692916 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MA051641 | PA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA051641 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1789 N KEYSER AVE MEDICAL ASSOCIATES OF NEPA |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124080247 | Stephanie Anne Boyarsky | Family Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2006-04-04 |
| 1225466899 | Kristen Maritato | Physician Assistant | 1789 N Keyser Ave, Suite B, Scranton, PA 18508-1250 | 2013-10-17 |
| 1770928947 | Melissa Michelle Bertha | Family Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2013-05-01 |
| 1235480401 | Kathy Helen Kessler | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2012-09-27 |
| 1023259801 | Joseph Frank Leo | Internal Medicine | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2009-03-09 |
| 1356598817 | Diagnostic Imaging Centers of Nepa, LLC | Radiology | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2008-08-26 |
| 1538331095 | Vanessa Leigh White | Counselor | 1789 N Keyser Ave, Suite 9, Scranton, PA 18508-1250 | 2008-03-25 |
| 1952513111 | Judith Scott Severson | Nurse Practitioner | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-05-03 |
| 1316098221 | William Mark Brown | Podiatrist | 1789 N Keyser Ave, Scranton, PA 18508-1250 | 2007-01-16 |
| 1871674028 | Andrew Brown's Drug Store, Inc. | Durable Medical Equipment & Medical Supplies | 1789 N Keyser Ave, Suite 2, Scranton, PA 18508-1250 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1417402249 | Express Urgent Care, LLC | Clinic/Center | 449 Scranton Carbondale Hwy, Dickson City, PA 18508 | 2016-08-22 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977379 | Casey Ann Vescovi | Physician Assistant | 327 North Washington Ave., Suite 200, Scranton, PA 18503-1535 | 2015-11-23 |
| 1396137659 | Kara Lynn Rempe | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503 | 2015-02-24 |
| 1316932312 | Jennifer Murray Aebli | Physician Assistant | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2005-09-15 |
| 1366060923 | Alexa Rae Matillano | Physician Assistant | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2020-07-10 |
| 1356994313 | Chivon Demchak | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-07-18 |
| 1790253193 | Meghan Katherine Cawley | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2018-11-05 |
| 1790261303 | Gabriella Maria Rossi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-17 |
| 1639626849 | Samipkumar Patel | Physician Assistant | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2016-09-06 |
| 1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| Find all providers in SCRANTON | ||||
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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.