Individual Healthcare Provider
Marissa Christine Stock, MD
Provider's NPPES record last updated: January 23, 2012
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073531505
- Primary Specialty
- Pediatrics
- Practice Location
- Washington, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:13 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Allopathic & Osteopathic Physicians
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Taxonomy code 208000000X Pediatrics
Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Taxonomy code 2080N0001XPediatrics
Pediatric Emergency Medicine
Allopathic & Osteopathic Physicians
A pediatrician who has special qualifications to manage emergencies in infants and children.
Taxonomy code 2080P0204X
Provider-Reported License Information
- Pediatrics (Missouri)
- 2004007508
- Pediatrics (Missouri)
- 2004007508
- Pediatrics (Missouri)
- 2004007508
Practice Locations
Practice Location
901 Patients First Dr
Washington, Missouri 63090-4700
Phone: (636) 231-3690
Record Information
- Enumeration Date
- July 17, 2006
- Provider's NPPES Record Last Updated
- January 23, 2012
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue