Marissa N. Largoza, M.D., P.a.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L0366 Issued in TX

Legal business name

MARISSA N. LARGOZA, M.D., P.A.

Practice address

4499 Medical Dr
Suite 191
San Antonio, TX 78229-3735

Phone

(210) 692-0404

Fax

(210) 692-9202

NPI assigned

Oct 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Marissa N Largoza, M.D.NPI 1720183312

Title

Owner

Phone

(210) 692-0404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa N Largoza, MD

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
  • NPI 1720183312
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1346525557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 191",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-692-0404",
            "fax_number": "210-692-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 191",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-692-0404",
            "fax_number": "210-692-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA N. LARGOZA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "LARGOZA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-692-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L0366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca R Maris, LVN
• Barbara G Mariscal, RN, PNP
• Desiree Mariscal
• Paola Mariscal
• Roque Mariscal, DDS
• Ruth Chepkogei Maritim
• Marium Steele, M.D., P.a.
• Haneen Marji, MD
• Marjorie F. Lopez
• Mark a Hinton, MD PLLC (Child and Family Behavior Options)

• Obstetrics & Gynecology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.