Provider Demographics
NPI:1528296860
Name:TOOMEY, MARISA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARISA
Middle Name:ELIZABETH
Last Name:TOOMEY
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC
Mailing Address - Street 2:740 SOUTH LIMESTONE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0284
Mailing Address - Country:US
Mailing Address - Phone:859-257-8992
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF KENTUCKY L447 KENTUCKY CLINIC
Practice Address - Street 2:740 SOUTH LIMESTONE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-257-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT194901208000000X
TXQ43202080P0006X
KY498182080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics