Active NPI
Marisa C Mammarappallil, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- High Point, NC
National Provider Identifier
1184816746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2009-01454
- Practice address
- 4191 Mendenhall Oaks Pkwy
Suite 140
High Point, NC 27265-8035 - Phone
- (336) 664-6175
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2009-01454 | NC | Primary |
Addresses
Primary practice location
4191 Mendenhall Oaks Pkwy
Suite 140
High Point, NC 27265-8035
Mailing address
4191 Mendenhall Oaks Pkwy
Suite 140
High Point, NC 27265-8035
Phone (336) 664-6175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-01454 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1184816746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4191 MENDENHALL OAKS PKWY",
"address_2": "SUITE 140",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658035",
"telephone_number": "336-664-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4191 MENDENHALL OAKS PKWY",
"address_2": "SUITE 140",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658035",
"telephone_number": "336-664-6175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMMARAPPALLIL",
"first_name": "MARISA",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "2009-01454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.