Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marilyn Irene Spagnol, PA-C

Individual provider Medical Physician Assistant · NPI 1174905657

Marilyn Irene Spagnol, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Haddon Emergency Physicians LLC, a 21-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
11
Licensed in
NJ, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone: (215) 456-6560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 — (856) 757-3500
  • 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 — (856) 355-6000
  • 175 Madison Ave Fl 2, Mount Holly, NJ 08060-2038 — (609) 914-6000
  • 100 Bowman Dr Lowr Level1, Voorhees, NJ 08043-9612 — (856) 247-3000
  • 218 Sunset Rd Fl 5, Willingboro, NJ 08046-1110 — (609) 835-3056

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00371600 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA057625 (PA)

Record details

NPI number1174905657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Haddon Emergency Physicians Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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