LISA PHILIP MATHEW (NPI# 1043645476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043645476 |
| Entity Type | Individual |
| Full Name | LISA PHILIP MATHEW |
| Credential | NP-C |
| Practice Address |
1001 Pennsylvania Ave Fort Worth TX 76104-2228 |
| Mailing Address |
Po Box 29900 Department 904 Phoenix AZ 85038-0900 |
| Practice Telephone | 8178775858 |
| Practice Fax Number | 8173354418 |
| Mailing Telephone | 8178775858 |
| Mailing Fax Number | 8173354418 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0300X |
Registered Nurse Specialization: Nephrology |
724870 | TX | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP124548 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
724870 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828445 | Lisa Mathew | Pharmacist | 1035 N Shepherd Dr, Houston, TX 77008-6528 | 2020-07-21 |
| 1518101641 | Lisa Mathew | Physician Assistant | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | 2009-04-20 |
| 1639331200 | Lisa K Mathew | Internal Medicine | 10103 Ridgegate Pkwy, Suite 312, Lone Tree, CO 80124-5520 | 2008-06-25 |
| 1154459634 | Lisa Mathew | Nurse Practitioner | 6845 State Route 434, Apalachin, NY 13732-3503 | 2007-02-28 |
| Street Address |
1001 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767798 | Ponniah S Sankarapandian | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2005-08-16 |
| 1851839740 | Angella Clarke | Nurse Practitioner | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2017-02-10 |
| 1396175535 | Whitney Marie Kirkpatrick | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2013-11-26 |
| 1417221755 | Jennifer A Johnson | Clinical Nurse Specialist | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2012-03-05 |
| 1043453293 | Machaiah M Madhrira | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2009-04-16 |
| 1306095849 | Osama Mohamed Elmhishi | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1912156407 | Chinnapa R Gade | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1700061819 | Sridhar Reddy Allam | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-01-08 |
| 1992989206 | Peter Brian Ramirez | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2007-12-21 |
| 1952582157 | Imran Adam Memon | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2007-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310009 | Mercy Ngeusang | Nurse Practitioner | 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 | 2020-06-12 |
| 1003475682 | Rachel A Oyejide | Nurse Practitioner | 4205 Golden Horn Ln, Fort Worth, TX 76123-2569 | 2019-06-07 |
| 1457829962 | Nelius Njuguna | Nurse Practitioner | 5204 Bryant Irvin Rd Apt 2119, Fort Worth, TX 76132-3847 | 2018-11-02 |
| 1215442819 | Samuel Nganga Kamau | Nurse Practitioner | 10008 Channing Rd, Fort Worth, TX 76244-8500 | 2017-12-06 |
| 1841739018 | Shannon Boodhwani | Nurse Practitioner | 6100 Harris Pkwy Ste 345, Fort Worth, TX 76132-4134 | 2017-02-21 |
| 1831632306 | Brianna Hawkins | Nurse Practitioner | 10628 Donnis Dr, Fort Worth, TX 76244-6658 | 2016-11-30 |
| 1518359645 | Barbara Evans | Nurse Practitioner | 1001 12th Ave Ste 130, Fort Worth, TX 76104-3926 | 2015-02-26 |
| 1942575329 | Mari J. Finley | Nurse Practitioner | 4503 Anglin Cir, Fort Worth, TX 76140-4205 | 2012-03-18 |
| 1306110366 | Janice Renea Richardson | Nurse Practitioner | 1350 E Lancaster Ave Ste 100, Fort Worth, TX 76102-6671 | 2012-03-07 |
| 1477154490 | Cassandra Jade Hinojosa | Nurse Practitioner | 6301 Harris Pkwy Ste 300, Fort Worth, TX 76132-4266 | 2020-11-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on LISA PHILIP MATHEW.
| 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.