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MARISSA BOETTCHER MD
NPI 1518653567
Radiology - Diagnostic Radiology in Charlottesville, VA

Active since April 13, 2023
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 297-6029 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2024, Apr 13, 2023 (2 updates tracked since 2023).

About Marissa Boettcher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA BOETTCHER MD (NPI 1518653567) is an individual diagnostic radiology provider in Charlottesville, Virginia, licensed in Virginia (0116038941) and active in the NPI registry since April 2023. She maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1518653567
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMARISSA BOETTCHERCredential: MD
Location Address1215 LEE STCharlottesville, VA 22908-4810
Mailing Address2720 Sunset BlvdWest Columbia, SC 29169-4810
Phone(434) 297-6029
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1518653567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in VA · 0116038941
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 LEE ST, Charlottesville, VA 22908
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Secondary Practice Location 1

Location 12720 Sunset BlvdWest Columbia, SC 29169-4810 · Phone (803) 791-2769

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Boettcher's NPI number?

The NPI number for Marissa Boettcher is 1518653567. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Marissa Boettcher located?

Marissa Boettcher practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 297-6029.

What is Marissa Boettcher's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Marissa Boettcher was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.