MARISSA BACA, PLLC (NPI# 1740822741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740822741 |
| Entity Type | Organization |
| Organization Name | MARISSA BACA, PLLC |
| Practice Address |
32000 Telegraph Rd Bingham Farms MI 48025-2442 |
| Mailing Address |
320 N Cranbrook Cross Rd Bloomfield Hills MI 48301-2765 |
| Practice Telephone | 2486475800 |
| Practice Fax Number | 2486471799 |
| Mailing Telephone | 5863222650 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MARISSA BACA (OWNER) |
| Authorized Official Telephone | 5863222650 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| Street Address |
32000 TELEGRAPH RD |
| City | BINGHAM FARMS |
| State | MI |
| Zip Code | 48025-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457319790 | Straith Clinic, P.C. | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-03 |
| 1770847667 | Marissa Elizabeth Baca | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2012-06-26 |
| 1689622276 | William Henry Sabbagh | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-05 |
| 1891743712 | Lawrence Tong | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-04 |
| 1437117033 | Enrique Sabbagh | Plastic Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033439807 | S Raja Sekharan | Plastic Surgery | 1950 Tiverton Rd, Bloomfield Hills, MI 48304-2347 | 2010-06-03 |
| 1861653222 | John Martin Markley Jr. | Plastic Surgery | 21 Ridgeway St, Ann Arbor, MI 48104-1739 | 2008-06-18 |
| 1174684658 | Richard Carlton Schultz | Plastic Surgery | 12825 N. Northport Point Rd., Northport, MI 49670 | 2006-12-12 |
| 1346327715 | Steve S Tsangalias | Plastic Surgery | 63 Kercheval Ave, Suite 202, Grosse Pointe Farms, MI 48236-3639 | 2006-11-01 |
| 1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
| 1144238593 | Jefrey Ralph-alan Fishman | Plastic Surgery | 1777 Axtell, Suite 109, Troy, MI 48084 | 2006-08-03 |
| 1366884942 | Orthopaedic Associates of Grand Rapids, PC | Plastic Surgery | 2373 64th St Sw Ste 2500, Byron Center, MI 49315 | 2013-07-23 |
| 1538507025 | Stephen Peter Duquette | Plastic Surgery | 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 | 2013-06-06 |
| 1649597998 | Ascension St. Mary's Hospital | Plastic Surgery | 4705 Towne Ctr, Suite 104, Saginaw, MI 48604-2818 | 2010-04-27 |
| 1003061268 | Plastic Surgery Specialists Pllc | Plastic Surgery | 2060 E. Paris, Grand Rapids, MI 49646 | 2008-12-01 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAM FARMS |
| Zip Code | 48025 |
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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.