Marisha Chilcott MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A88901 Issued in CA

Legal business name

MARISHA CHILCOTT MD INC

Practice address

1144 Sonoma Ave Ste 104
Santa Rosa, CA 95405-4812

Phone

(707) 542-1933

Fax

(707) 542-6227

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marisha Chilcott, M.D.

Title

President

Phone

(707) 542-1933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1497940977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 SONOMA AVE STE 104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054812",
            "telephone_number": "707-542-1933",
            "fax_number": "707-542-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 SONOMA AVE STE 104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054812",
            "telephone_number": "707-542-1933",
            "fax_number": "707-542-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISHA CHILCOTT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "CHILCOTT",
        "authorized_official_first_name": "MARISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-542-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Aaron Markoff, M.D.

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.