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

Marissa Santiago

Individual provider Physician Assistant · NPI 1801460274

Marissa Santiago is a Physician Assistant in Tooele, Utah. Qualified in 2022, 4 years ago. Practices with Tooele Orthopedics and Sports Medicine Specialists, a 4-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2021
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Practice location Address checks out

2321 N 400 E Ste 300
Tooele, UT 84074-3440
Phone: (435) 833-9180
Fax: (435) 359-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13071784-1206 (UT)

Record details

NPI number1801460274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2021
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address1526 S Medical Center Dr, St George, UT 84790-8715

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tooele Orthopedics And Sports Medicine Specialists — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tooele