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: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 COOPER RD STE 300
WESTERVILLE OH
43081-8057
US

IV. Provider business mailing address

477 COOPER RD STE 300
WESTERVILLE OH
43081-8057
US

V. Phone/Fax

Practice location:
  • Phone: 614-898-8808
  • Fax:
Mailing address:
  • Phone: 614-898-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.010087RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: