MRS. LISA ANN GARDNER


Address: 4901 Lac De Ville Blvd, Rochester, NY 14618-5647
Phone: 5852755321

MRS. LISA ANN GARDNER (NPI# 1093131690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093131690
Entity Type Individual
Full Name MRS. LISA ANN GARDNER
Credential PA-C
Practice Address 4901 Lac De Ville Blvd
Rochester
NY 14618-5647
Practice Telephone 5852755321
Mailing Telephone 5852755321
Enumeration Date 2014-03-07
Last Update Date 2017-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 017406 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA GARDNER

NPI Name Taxonomy Address Enumeration
1972049468 Lisa Gardner Specialist/Technologist 5001 W Dobbins Rd, Laveen, AZ 85339-9733 2017-01-09
1255781837 Lisa Gardner Physical Therapy Assistant 956 Cherry St, Utica, NY 13502-3818 2016-06-15
1245577535 Lisa Marie Gardner Speech-Language Pathologist 547 S Clark St Apt 305, Chicago, IL 60605-1546 2013-01-07
1639467814 Lisa A Gardner Registered Nurse 12150 Loft Ct, Bristow, VA 20136-1230 2011-07-21
1316114499 Lisa Franck Gardner Physical Therapist 7483 Cottonwood Dr, Denver, NC 28037-7685 2008-05-08
1801884333 Lisa Hall Gardner Nurse Practitioner 438 W Brevard St, Tallahassee, FL 32301-1004 2005-10-10
1144695925 Lisa Gardner Pharmacist S14w22605 Coral Dr, Waukesha, WI 53186-1538 2015-12-05
1205101037 Lisa Leah Gardner Counselor 753 N 35th St, 202, Seattle, WA 98103-8870 2012-03-12
1376715615 Lisa Marie Gardner Audiologist 1601 Nw 114th St, Suite 230, Clive, IA 50325-7007 2008-03-27
1912198466 Lisa Nicole Gardner Counselor 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 2007-08-08

Office Location

Street Address 4901 LAC DE VILLE BLVD
City ROCHESTER
State NY
Zip Code 14618-5647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144262551 University Medical Imaging PC Radiology 4901 Lac De Ville Blvd, Suite 140, Rochester, NY 14618-5647 2006-06-11
1255932620 Austin John Coppola Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-11-03
1669072864 Megan Bessel Physician Assistant 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-10-27
1598364291 Katherine E. Lamb Nurse Practitioner 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-10-22
1295333961 Rochelle Helvey Specialist/Technologist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-10-14
1144838194 Paige Elizabeth Harrington Nurse Practitioner 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2020-07-15
1497393284 Jake Keller Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2019-12-12
1386281236 Kristen Rebecca Petrushesky Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2019-12-10
1952948028 Caleb Miraglia Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2019-12-07
1992342216 Patrick Barber Physical Therapist 4901 Lac De Ville Blvd, Rochester, NY 14618-5647 2019-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962056499 Zahavi Dental of Rochester Dentist 1815 S. Clinton Ave, 510, Rocheter, NY 14618 2019-08-01
1760047278 Inner Power Physical Therapy Pllc Clinic/Center 2561 Lac Deville Boulevard, Suite 100, Rochester, NY 14618 2019-05-09
1659859858 Steven Sanfilippo Counselor 2000 S. Winton Rd., Building 4, Suite 303, Rochester, NY 14618 2018-07-31
1578064853 Feet First Inc Durable Medical Equipment & Medical Supplies 1900 Clinton Ave S Ste 5, Rochester, NY 14618 2018-02-22
1558805374 Jennifer Virella Social Worker 2000 South Winton Road, Bldg 2, Rochester, NY 14618 2016-12-13
1235589300 Andrew Cyrus Marcy Nurse Practitioner 95 Allens Creek Road Bld 1 Ste 306, Rochester, NY 14618 2016-06-20
1932561073 Legacy Pediatrics Pediatrics 1815 South Clinton Avenue Ste 360, Rochester, NY 14618 2016-03-28
1790143105 Marie Lynn Bieber Dietitian, Registered 919 Winton Rd S Ste 220, Rochester, NY 14618 2016-02-01
1720443096 Brittany Rose Masetta Marriage & Family Therapist 2000 S Winton Rd, Bldg 4, Suite #200, Rochester, NY 14618 2015-12-30
1437543097 Kathleen Skye Kemp Internal Medicine 2400 S Clinton Ave Ste G2, Rochester, NY 14618 2015-03-22
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073112009 Reece Edward Mcevoy Physician Assistant 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 2020-10-21
1336755065 Katherine Zazulak Physician Assistant Ur Medicine Strong Memorial Hospital 601 Elmwood Ave, Rochester, NY 14642-0001 2020-09-18
1609489632 Michelle Sierant Physician Assistant 4847 Carrington Dr, Rochester, MI 48306-1496 2020-08-28
1558971812 Kelly Ann Probst Physician Assistant 136 Seminole Way, Rochester, NY 14618-1348 2020-08-03
1750999645 Paulina Maria Mager Physician Assistant 52 Pennwood Dr Apt E, Rochester, NY 14625-2527 2020-07-17
1013534841 Andrew Mcleod Physician Assistant 4631 Deer Springs Ct, Rochester, MI 48306-4733 2020-06-27
1295359123 Jenna Geary Physician Assistant 193 Avon Rd, Rochester, NY 14625-1932 2020-06-06
1063047637 Megan Thornton Physician Assistant Mayo Clinic - Rochester 200 First Street Sw, Rochester, MN 55905-0001 2020-03-04
1609417617 Maisie Katherine Pipher Physician Assistant 110 Crittenden Blvd, Rochester, NY 14620 2019-10-01
1427525633 Eric Thomas Mundt Physician Assistant 393 Pemberton Road, Rochester, NY 14622 2018-10-25
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Competitor

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City ROCHESTER
Zip Code 14618

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Dataset Information

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.

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