Healthcare Provider Details

I. General information

NPI: 1740121987
Provider Name (Legal Business Name): MARISSA SCHATZEL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 OLENTANGY RIVER RD STE 1080
COLUMBUS OH
43214-3984
US

IV. Provider business mailing address

3555 OLENTANGY RIVER RD STE 1080
COLUMBUS OH
43214-3984
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-8164
  • Fax: 614-268-8406
Mailing address:
  • Phone: 614-268-8164
  • Fax: 614-268-8406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010087RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: