Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Lombardo, PA-C

Individual provider Physician Assistant · NPI 1730965211

Marisa Lombardo, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2023, 3 years ago. Practices with Memorial Radiation Oncology Group, a 91-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
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

171 Ashley Ave
Charleston, SC 29425-1243
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730965211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Memorial Radiation Oncology Group — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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