Marisa Lee Hughes, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0A002059 Issued in PA

Practice address

166 Saxer Ave
Springfield Sport Emergency Medical Corp
Springfield, PA 19064

Phone

(610) 328-7262

Fax

(610) 328-4440

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Springfield Sports Emergency Medical Corporation

  • Sports Medicine (Family Medicine) Physician
  • Springfield, PA
  • NPI 1891860060
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417036492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SAXER AVENUE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-328-7262",
            "fax_number": "610-328-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SAXER AVE",
            "address_2": "SPRINGFIELD SPORT EMERGENCY MEDICAL CORP",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-328-7262",
            "fax_number": "610-328-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "MARISA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "0A002059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia Holmes, CRNP
• Seung Hee Hong, MD
• Deborah Anne Hopkins, MS,OTR/L
• Adriana Elizabeth Hudson
• Steven Hudyma, ATC, PTA
• Lydia Hunt, DDS
• Teneisha Williams Hunt, NP
• Kayeon Hwang, PHARMD
• Alexis Ibarra
• Chinenye Iheme, M.D.

• Physician Assistant in Springfield, PA
• Providers in Springfield, PA by specialty
• Physician Assistant in Pennsylvania

• 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.