Marissa Louise Casoli, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA054225 Issued in PA

Practice address

300 Halket St
Pittsburgh, PA 15213-3108

Phone

(412) 641-4274

Fax

(412) 641-1446

NPI assigned

Nov 18, 2009

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

Other names 1

• Marissa Louise Gaydosh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1619205309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-4274",
            "fax_number": "412-641-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-641-4274",
            "fax_number": "412-641-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASOLI",
        "first_name": "MARISSA",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA054225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "GAYDOSH",
            "middle_name": "LOUISE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Joseph Casile, PHD, LPC
• Stephanie Casillo
• Adina Gail Caskey
• Susan A Caslow, MD
• Raul Caso, MD, MSCI
• Christina M Casper, CRNA
• Gregory Daniel Caspero, PHARMD
• Kaitlyn Caspero
• Jennifer Cass-Caldwell, APRN
• Bryan Paul Cass, DNP

• Surgical Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.