Active NPI
Marshall-Rismiller & Associates
- Family Medicine Physician
- Pine Grove, PA
National Provider Identifier
1467529610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS004201L
- Legal business name
- MARSHALL-RISMILLER & ASSOCIATES
- Practice address
- 121 N Tulpehocken St
Pine Grove, PA 17963-1217 - Phone
- (570) 345-2345
- Fax
- (570) 345-2350
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon L Krammes
- Title
- Practice Administrator
- Phone
- (570) 622-1887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS004201L | PA | Primary |
Addresses
Primary practice location
121 N Tulpehocken St
Pine Grove, PA 17963-1217
Mailing address
121 N Tulpehocken St
Pine Grove, PA 17963-1217
Phone (570) 345-2345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F3510 | Other | PA | RAILROAD MEDICARE |
| 1007389850013 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- North Charleston, SC
- NPI 1760475859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1467529610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N TULPEHOCKEN ST",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631217",
"telephone_number": "570-345-2345",
"fax_number": "570-345-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N TULPEHOCKEN ST",
"city": "PINE GROVE",
"state": "PA",
"postal_code": "179631217",
"telephone_number": "570-345-2345",
"fax_number": "570-345-2350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL-RISMILLER & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "KRAMMES",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "570-622-1887",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS004201L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "F3510",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007389850013",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.