Marion Wilson Memmott, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2255 Issued in AZ

Practice address

980 E Pecos Rd Ste 3
Chandler, AZ 85225-2438

Phone

(480) 963-8800

NPI assigned

Oct 5, 2006

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Absolute Pain Relief LLC

  • Chiropractor
  • Chandler, AZ
  • NPI 1477076644
  Medicare reassignment

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1821184722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19208 E APPLEBY RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429063",
            "telephone_number": "480-313-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E PECOS RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252438",
            "telephone_number": "480-963-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 E Hanna Rd",
            "address_purpose": "LOCATION",
            "city": "Eloy",
            "state": "AZ",
            "postal_code": "851319612",
            "country_code": "US",
            "telephone_number": "520-464-3065 x52046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMMOTT",
        "first_name": "MARION",
        "middle_name": "WILSON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kay Meintel, CCC SLP
• Kristen Meirick, NP
• Madison Paige Meise
• Andrea Marline Mejia
• Melanie D Cloonan Schulte MD PC
• Belia Mendez, NP
• Domitila Mendez
• Monique Amanda Mendez, PHARMD
• Cesar Mendoza
• Michelle Marie Mendoza, RN

• Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.