Organization Active NPI

Marshall-Rismiller & Associates

  • Family Medicine Physician
  • Pine Grove, PA
National Provider Identifier
1467529610
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004201L Issued in PA
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

Updated by the provider on Nov 1, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
F3510OtherPARAILROAD MEDICARE
1007389850013MedicaidPA

National Provider Directory

National Provider Directory

Practitioners 1

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

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.

Verify at the official NPI Registry.