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

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

Practice location Address checks out

2321 N 400 E Ste 300
Tooele, UT 84074-3440
Phone: (435) 833-9180
Fax: (435) 359-4505
Show map & directions

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

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