DR. LISA P MAESTAS (NPI# 1033114160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033114160 |
Entity Type | Individual |
Full Name | DR. LISA P MAESTAS |
Other Name | LISA P. BERLE |
Credential | D.O. |
Practice Address |
12410 E Sinto Ave Ste B Spokane Valley WA 99216-2280 |
Mailing Address |
Po Box 3649 Spokane WA 99220-3649 |
Practice Telephone | 5098382531 |
Practice Fax Number | 5097556580 |
Mailing Telephone | 5097556580 |
Mailing Fax Number | 5097556580 |
Enumeration Date | 2005-06-15 |
Last Update Date | 2014-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
OP60455816 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 39626253 | 05 | |
NM | BLUESHIELD/NM | NM004A63 | 01 |
NM | LOVELACE HEALTHPLAN | 10013148 | 01 |
NM | FIRST HEALTH | 2222574 | 01 |
NM | AHCCCS | 881327 | 01 |
Street Address |
12410 E SINTO AVE STE B |
City | SPOKANE VALLEY |
State | WA |
Zip Code | 99216-2280 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427118686 | Robin Gregory Smith | Specialist | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2006-12-11 |
1174620504 | Robert H. Goebel | Radiology | 12410 E Sinto Ave Ste B, Suite A100, Spokane Valley, WA 99216-2280 | 2006-09-20 |
1730143280 | Teresa M Ogden | Nurse Practitioner | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2006-04-13 |
1679563639 | Robert David Pfeffer | Radiology | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2005-10-21 |
1518969021 | John A. Shaw | Radiology | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2005-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
Find all providers in zip 99216 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275910960 | Jonathan Sharrett | Radiology | 13424 E Mission Ave, Spokane Valley, WA 99216-2759 | 2015-05-01 |
1831524073 | Medical Oncology Associates, Ps | Radiology | 13424 E Mission Ave, Spokane Valley, WA 99216-2759 | 2013-09-06 |
1851628077 | Stephen Hasler Thatcher | Radiology | 1204 N Vercler Rd, Ste 101, Spokane Valley, WA 99216-1020 | 2009-11-09 |
1417027640 | Karie-lynn Janet Kelly | Radiology | 13424 E Mission Ave, Spokane Valley, WA 99216-2759 | 2006-11-08 |
1174620504 | Robert H. Goebel | Radiology | 12410 E Sinto Ave Ste B, Suite A100, Spokane Valley, WA 99216-2280 | 2006-09-20 |
1043266810 | Christopher Melvin Lee | Radiology | 1204 N Vercler Rd, Ste201, Spokane Valley, WA 99216-1020 | 2006-05-25 |
1679563639 | Robert David Pfeffer | Radiology | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2005-10-21 |
1831188036 | Wayne Tenney Lamoreaux | Radiology | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 | 2005-10-19 |
1558353052 | David E Davenport | Radiology | 1204 N Vercler Rd, Ste 101, Spokane Valley, WA 99216-1020 | 2005-08-19 |
1518969021 | John A. Shaw | Radiology | 12410 E Sinto Ave Ste B, Spokane Valley, WA 99216-2280 | 2005-08-15 |
Find all providers in SPOKANE VALLEY |
City | SPOKANE VALLEY |
Zip Code | 99216 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.