Individual provider Active NPI

Marissa Casas

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1558736280
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13525 Issued in TX
Practice address
6900 N 10TH St Ste No4
McAllen, TX 78504-3198
Phone
(956) 627-5137
Fax
(956) 720-0966
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12876 TX
Physician Assistant 363A00000X PA13525 TX Primary

Addresses

Primary practice location

6900 N 10TH St Ste No4
McAllen, TX 78504-3198

Mailing address

1620 E 8TH St Ste 4
Weslaco, TX 78596-5883
Phone (956) 231-5541

Other practice location 1

918 S State Highway 336
Edinburg, TX 78539-4084
Phone (956) 627-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12876TXMDGeneral Practice Dentistry
PA13525TXMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1558736280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E 8TH ST STE 4",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965883",
            "telephone_number": "956-231-5541",
            "fax_number": "956-854-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N 10TH ST STE NO4",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043198",
            "telephone_number": "956-627-5137",
            "fax_number": "956-720-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 S State Highway 336",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785394084",
            "country_code": "US",
            "telephone_number": "956-627-2021",
            "fax_number": "956-435-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASAS",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12876",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.