MEDICARE: MARISSA R MCSHEPARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1225961139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA R MCSHEPARD

Provider Business Mailing Address
First Line	:	5692 BIXBYWOODS CT APT C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-2555
Country	:	US
Telephone Number	:	216-527-7774
Fax Number	:

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	220-228-0124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1538903117 — HART SOUL & MIND HEALTHCARE, LLC
Practice Location Address:

4770 INDIANOLA AVE STE 210
COLUMBUS, OH
43214-1862

Practice Phone: 614-306-4477
Practice Fax: 614-862-0837

1790619021 — STEPHEN CASWELL LPN
Practice Location Address:

4770 INDIANOLA AVE STE 107
COLUMBUS, OH
43214-1862

Practice Phone: 614-371-2303
Practice Fax:

1356138978 — PURE HOME CARE LLC
Practice Location Address:

4770 INDIANOLA AVE STE 102
COLUMBUS, OH
43214-1862

Practice Phone: 614-626-0029
Practice Fax: 614-455-4025

1255370714 — ANGEL L VILLANUEVA JR. MD
Practice Location Address:

4770 INDIANOLA AVE STE 107
COLUMBUS, OH
43214-1862

Practice Phone: 614-371-2303
Practice Fax: 800-905-9950

1336292713 — DR. CINDY WEPRIN WOLT D.D.S
Practice Location Address:

4770 INDIANOLA AVE , 100
COLUMBUS, OH
43214-1862

Practice Phone: 614-396-6850
Practice Fax:

1386857852 — ON-TIME TRANSPORTATION SERVICES INC
Practice Location Address:

4770 INDIANOLA AVE , SUIT LL B
COLUMBUS, OH
43214-1862

Practice Phone: 614-785-9330
Practice Fax: 614-785-9331

Directions to “ MARISSA R MCSHEPARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.