DR. LISA E HART (NPI# 1053395327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053395327 |
| Entity Type | Individual |
| Full Name | DR. LISA E HART |
| Other Name | LISA E MAST |
| Credential | DO |
| Practice Address |
715 W Main St Ste S Jenks OK 74037-3553 |
| Practice Telephone | 9187450501 |
| Practice Fax Number | 9187479778 |
| Mailing Telephone | 9187450501 |
| Mailing Fax Number | 9187479778 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4161 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200182250B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802397 | Lisa Ann Hart | Student in an Organized Health Care Education/Training Program | 4514 Sentinel Pass, Fitchburg, WI 53711-4727 | 2017-03-13 |
| 1457605503 | Lisa Rachelle Hart | Homemaker | 847 4th St, Lancaster, OH 43130-4680 | 2012-10-27 |
| 1407135254 | Lisa Hart | Registered Nurse | 4302 Dawnshire Dr, Parma, OH 44134-3344 | 2011-08-11 |
| 1093938789 | Lisa Kay Hart | Home Health Aide | 5259 State Route 73, Hillsboro, OH 45133-7059 | 2007-04-11 |
| 1023125283 | Lisa A Hart | Chiropractor | 307 6th St, Carrollton, IL 62016 | 2006-08-24 |
| 1245733104 | Lisa Erin Julian Hart | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2018-03-16 |
| 1982987855 | Lisa Hart | Hearing Instrument Specialist | 15425 W National Ave, New Berlin, WI 53151-5156 | 2011-09-27 |
| 1548574510 | Lisa Hart | Occupational Therapist | 8 School St, Fairfield, ME 04937-1325 | 2010-08-02 |
| 1053634022 | Lisa M Hart | Physical Therapist | 9789 Cambridge Cir, Mokena, IL 60448-7723 | 2010-03-05 |
| 1144491333 | Lisa Hart | Counselor | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2008-03-17 |
| Street Address |
715 W MAIN ST STE S |
| City | JENKS |
| State | OK |
| Zip Code | 74037-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954984 | Donna Jean Mosier | Registered Nurse | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2019-04-06 |
| 1518338490 | Carol Voigtlander | Nurse Practitioner | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2015-10-17 |
| 1831462894 | Jenna Lee Musgrove | Physician Assistant | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2012-02-21 |
| 1720252182 | Osu Center for Health Sciences | Clinic/Center | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2008-04-16 |
| 1174684476 | Rebecca J. Berman | Nurse Practitioner | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2006-12-12 |
| 1518063932 | Gerald Don Wootan | Family Medicine | 715 W Main St Ste S, Jenks, OK 74037-3553 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983952 | Melinda Dandridge | Pediatrics | 410 E Main St, Jenks, OK 74037-4135 | 2005-06-22 |
| 1215091640 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 701 E Main St, Jenks, OK 74037-4316 | 2006-12-20 |
| 1538112370 | Kathleen Shepherd Koljack | Pediatrics | 701 E Main St, Jenks, OK 74037-4316 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1174180137 | Iorga Pediatrics LLC | Pediatrics | 201 N Monte Vista St Ste C, Ada, OK 74820-7220 | 2019-05-24 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1255870820 | Caitlin Schaede | Pediatrics | 601 E 13th St Ste A, Grove, OK 74344-2962 | 2017-02-15 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1528417409 | Valley Family Clinic Inc | Pediatrics | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
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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.