Individual provider Active NPI

Marlee Vause, PA-C

  • Medical Physician Assistant
  • Bonita Springs, FL
National Provider Identifier
1295843498
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103416 Issued in FL
Practice address
9510 Bonita Beach Road
Suite 101
Bonita Springs, FL 34135
Phone
(239) 597-1400
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103416 FL Primary

Addresses

Primary practice location

9510 Bonita Beach Road
Suite 101
Bonita Springs, FL 34135

Mailing address

9510 Bonita Beach Rd
SE Unit 101
Bonita Springs, FL 34135
Phone (239) 597-1400

Other names 1

  • Marlee Balka Professional name

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

State licenses

LicenseStateTypeSpecialty
56WYMDAthletic Trainer
PA9103416FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Naples LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295843498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 BONITA BEACH RD",
            "address_2": "SE UNIT 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-597-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 BONITA BEACH ROAD",
            "address_2": "SUITE 101",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "34135",
            "telephone_number": "239-597-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUSE",
        "first_name": "MARLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLEE",
            "last_name": "BALKA",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.