DR. MARISSA LAURETTE FEENEY (NPI# 1669014189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669014189 |
| Entity Type | Individual |
| Full Name | DR. MARISSA LAURETTE FEENEY |
| Credential | MD |
| Practice Address |
692 E 1700 Ave Vandalia IL 62471-4028 |
| Practice Telephone | 6187045945 |
| Practice Fax Number | 8886188106 |
| Mailing Telephone | 6187045945 |
| Mailing Fax Number | 8886188106 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
036.141060 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
692 E 1700 AVE |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598834 | Mark Peters | Pathology | 14685 Hansberry Rd, Rockton, IL 61072-9752 | 2020-08-12 |
| 1568890440 | John Scott Denton | Pathology | 2708 Piney Run, Bloomington, IL 61705-6457 | 2013-10-31 |
| 1407195639 | Manuel Raul Montez | Pathology | 1261 Oak Knoll Dr, Lake Forest, IL 60045-3665 | 2013-02-07 |
| 1124390976 | Jeffery Harold Harkey | Pathology | 414 N County Farm Rd, Wheaton, IL 60187-3908 | 2012-02-08 |
| 1144473513 | Michel Humilier | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2008-10-29 |
| 1093976169 | Amanda Youmans | Pathology | 506 E Seneca Pl, Peoria, IL 61603 | 2008-06-21 |
| 1831361617 | Bruce P Levy | Pathology | 840 South Wood Street, 130 Csn, Uic Department of Pathology (mc847), Chicago, IL 60612 | 2008-04-01 |
| 1588124960 | Ponni Arunkumar | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2019-03-22 |
| 1528464823 | Reema Khan | Pathology | 2121 W Harrison St, Chicago, IL 60612-3705 | 2014-11-13 |
| 1265667216 | Steven M. White | Pathology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2009-05-20 |
| Find all providers with the same taxonomy | ||||
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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.