DR. MARISSA B WILCK (NPI# 1669456596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669456596 |
| Entity Type | Individual |
| Full Name | DR. MARISSA B WILCK |
| Credential | MD |
| Practice Address |
3400 Spruce St. 3 Silverstein Bldg., Suite D Philadelphia PA 19104-4206 |
| Mailing Address |
3400 Spruce St. 3 Silverstein Suite D Philadelphia PA 19104-4206 |
| Practice Telephone | 2156626932 |
| Practice Fax Number | 6176627899 |
| Mailing Telephone | 2156626932 |
| Mailing Fax Number | 6126627899 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MD441111 | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
225632 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
3400 SPRUCE ST. 3 SILVERSTEIN BLDG., SUITE D |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919935 | Zachary Franklin Meisel | Emergency Medicine | 3400 Spruce St., Ground Silverstein Building, Philadelphia, PA 19104-4206 | 2005-08-11 |
| 1316473770 | Nickolas Wiliam Julian | Student in an Organized Health Care Education/Training Program | 3400 Spruce St., Philadelphia, PA 19104 | 2017-05-04 |
| 1629514708 | Karen Grundy | Psychologist | 3400 Spruce St., 100 Centrex, Philadelphia, PA 19104-4238 | 2017-01-12 |
| 1790145100 | Carolyn Haggerty | Physical Therapist | 3400 Spruce St., 1 White Building, Philadelphia, PA 19104 | 2016-02-26 |
| 1124459250 | Erin R Carton | Nurse Practitioner | 3400 Spruce St., Philadelphia, PA 19104 | 2013-11-27 |
| 1073945143 | Nihar Hotchandani | Pathology | 3400 Spruce St., 6 Founders, Philadelphia, PA 19104 | 2013-07-31 |
| 1831538032 | Akash M Patel | Internal Medicine | 3400 Spruce St., One Silverstein Building, Dept. of Radiology, Philadelphia, PA 19104 | 2013-06-20 |
| 1750670246 | John Evan Mcginniss | Internal Medicine | 3400 Spruce St., 839 West Gates Building, Philadelphia, PA 19104 | 2011-04-05 |
| 1821229691 | Suyash Mohan | Radiology | 3400 Spruce St., Philadelphia, PA 19104-4206 | 2009-07-28 |
| 1366618613 | Rituparna Das | Internal Medicine | 3400 Spruce St., Philadelphia, PA 19104-4206 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1891912648 | Michael Zdenek David | Internal Medicine | 3400 Spruce St Ste E, Philadelphia, PA 19104-4223 | 2007-04-20 |
| 1871628594 | Felicia Maude Toby Lewis | Internal Medicine | 500 S Broad St Fl 2, Philadelphia, PA 19146-1613 | 2007-02-22 |
| 1265571152 | Karam C Mounzer | Internal Medicine | 1233 Locust St Fl 4, Philadelphia, PA 19107-5459 | 2007-02-06 |
| 1457413445 | Blair C Weikert | Internal Medicine | 3400 Spruce S.t, Philadelphia, PA 19104-4206 | 2006-12-15 |
| 1306904941 | Ronald Asper | Internal Medicine | 1304 W Ritner St, Philadelphia, PA 19148-3525 | 2006-12-05 |
| 1326075243 | John Stern | Internal Medicine | 301 South 8th Street, Duncan Bldg Ste 1b, Philadelphia, PA 19106 | 2006-06-27 |
| 1124055058 | Lisa Spacek | Internal Medicine | 1015 Chestnut St Ste 1020, Philadelphia, PA 19107-4310 | 2006-06-27 |
| 1720014962 | Jay R Kostman | Internal Medicine | 1207 Chestnut St Fl 3, Philadelphia, PA 19107-4131 | 2006-06-22 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on DR. MARISSA B WILCK.
| 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.