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

Marisa N Wallas, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033748199

Marisa N Wallas, DO is a Family Practice in Cranberry Township, Pennsylvania. Qualified in 2020, 6 years ago. Practices with UPMC Community Medicine Inc, a 734-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

20630 Route 19
Cranberry Township, PA 16066-6021
Phone: (724) 779-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS022818 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033748199
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESSeptember 7, 2023
Certification dateSeptember 7, 2023
Mailing address600 Grant St Fl 58, Pittsburgh, PA 15219-2739

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Upmc Community Medicine Inc — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cranberry Township