MARISSA B BOTHUN (NPI# 1942507207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942507207 |
| Entity Type | Individual |
| Full Name | MARISSA B BOTHUN |
| Other Name | MARISSA B BOTHUN |
| Credential | P.A.-C. |
| Practice Address |
1790 N Stonebridge Dr Mckinney TX 75071-7437 |
| Practice Telephone | 9723909002 |
| Practice Fax Number | 2144913777 |
| Mailing Telephone | 9723909002 |
| Mailing Fax Number | 2144913777 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2014-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07230 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1790 N STONEBRIDGE DR |
| City | MCKINNEY |
| State | TX |
| Zip Code | 75071-7437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763490 | Matthew D Barrows Md Pa | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071 | 2005-10-06 |
| 1356710263 | Candi Carney | Nurse Practitioner | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2015-09-21 |
| 1558793190 | Heather Renee Capps | Physician Assistant | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2013-08-06 |
| 1508126046 | Christopher Glenn Hixon | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2012-05-17 |
| 1013145549 | Courtney P Doran | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2009-06-23 |
| 1588788566 | Christina Lorraine Bailey | Physician Assistant | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2007-03-16 |
| 1194861849 | Matthew James Bruno | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071 | 2007-01-29 |
| 1922144674 | Matthew Daniel Barrows | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071 | 2007-01-29 |
| 1225018286 | Lydia R Essary | Dermatology | 1790 N Stonebridge Dr, Mckinney, TX 75071-7437 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1295377018 | Emily Brooke Woodmansee | Speech-Language Pathologist | 2720 Virginia Pkwy #300, Mckinney, TX 75071 | 2019-10-14 |
| 1457838542 | Komeka Biddle | Counselor | 4300 Community Avenue, Mckinney, TX 75071 | 2018-07-23 |
| 1235620386 | Sithandiwe Mahlamvana | Registered Nurse | 2217 Jocelyn Way, Mckinney, TX 75071 | 2018-05-24 |
| 1659869758 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3650 W. University Dr., Mckinney, TX 75071 | 2018-04-25 |
| 1356843825 | Lumincare Physician Group, Pa | Family Medicine | 210 N Custer Road Suite 100, Mckinney, TX 75071 | 2018-03-01 |
| 1699294918 | Zuva Healthcare Services, LLC | Home Health | 5225 Pinewood Dr, Mckinney, TX 75071 | 2017-09-18 |
| 1568984300 | Changes Premier Health, LLC | Social Worker | 1820 N Lake Forest Drive, Mckinney, TX 75071 | 2017-07-13 |
| 1053847418 | Chinenye Emereole | Pharmacist | 2808 Arbury Dr, Mckinney, TX 75071 | 2017-05-04 |
| 1912441254 | Talo Paris Physicians, Pllc | Specialist | 5100 Eldorado, Ste 102 #715, Mckinney, TX 75071 | 2016-12-06 |
| Find all providers in zip 75071 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311300 | Irina Allen | Physician Assistant | 5801 Virginia Pkwy Ste 102, Mckinney, TX 75071-5410 | 2019-08-16 |
| 1831668508 | Peter T Trinh | Physician Assistant | 5236 W University Dr Ste 3300, Mckinney, TX 75071-8121 | 2018-11-24 |
| 1679056253 | Ingrid Pamela Castaneda-sanabria | Physician Assistant | 120 S Central Expy Ste 102, Mckinney, TX 75070-3753 | 2018-09-10 |
| 1518365253 | Vivian Le | Physician Assistant | 1720 N Central Expy Ste 150, Mckinney, TX 75070-3100 | 2014-12-11 |
| 1457770315 | Catherine Elizabeth Moyer | Physician Assistant | 1920 Eldorado Pkwy Ste 100, Mckinney, TX 75069-7962 | 2014-04-08 |
| 1407191513 | Megan E Cummings | Physician Assistant | 5236 W University Dr Ste 2200, Mckinney, TX 75071-8113 | 2012-11-29 |
| 1659631976 | Latori Daniel Abii | Physician Assistant | 4300 Community Blvd, Collin County Detention Facility, Mckinney, TX 75071-2535 | 2012-05-21 |
| 1093030728 | Erica R. Smith | Physician Assistant | 7692 Eldorado Pkwy, Mckinney, TX 75070-5652 | 2010-04-06 |
| 1679801054 | Gregg Fletcher | Physician Assistant | 8995 Stacy Rd, Mckinney, TX 75070-2167 | 2009-11-24 |
| 1447483789 | Elizabeth Barker Fearin | Physician Assistant | 2251 Eldorado Pkwy Ste 150, Mckinney, TX 75070 | 2009-09-03 |
| Find all providers in MCKINNEY | ||||
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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.