MS. LISA DANETTE WEST (NPI# 1104896760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104896760 |
| Entity Type | Individual |
| Full Name | MS. LISA DANETTE WEST |
| Credential | PA-C |
| Practice Address |
520 S Telephone Rd Moore OK 73160-5423 |
| Mailing Address |
3555 Nw 58th St Suite 900 Oklahoma City OK 73112-4707 |
| Practice Telephone | 4057939355 |
| Practice Fax Number | 4057931621 |
| Mailing Telephone | 4059170418 |
| Mailing Fax Number | 4059170419 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1163 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477079226 | Lisa West | Social Worker | 5559 Raiders Rd, Frazeysburg, OH 43822-9431 | 2017-08-14 |
| 1366658882 | Lisa S. West | Speech-Language Pathologist | 1923 Ryansbrook Ln, Spring, TX 77386-2865 | 2007-05-14 |
| 1104048008 | Lisa West | Occupational Therapist | 600 N Blvd. West, Leesburg, FL 34748 | 2007-05-02 |
| 1851406425 | Lisa Christine West | Physical Therapist | 2112 Eastman Ave, Suite 101, Ventura, CA 93003-5773 | 2006-08-21 |
| 1528086634 | Lisa Y West | Dentist | 2713 Marietta Hwy, Suite 111, Dallas, GA 30157-9470 | 2006-07-17 |
| 1346220290 | Lisa M West | Obstetrics & Gynecology | 3738 Winterfield Rd, Suite 100, Midlothian, VA 23113-9236 | 2006-01-18 |
| 1952827594 | Lisa Renee West | Physical Therapy Assistant | 201 N Oak Ave, Cookeville, TN 38501-2437 | 2017-08-15 |
| 1457759698 | Lisa West | Social Worker | 2237 Twelve Oaks Way, Suite 103, Wesley Chapel, FL 33544-6983 | 2014-12-19 |
| 1528499233 | Lisa Joan West | Nurse Practitioner | 1615 Michigan Ave, Baldwin, MI 49304 | 2013-12-05 |
| 1649530320 | Lisa Ann West | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Graduate Medical Education, Ms 1050, Toledo, OH 43614-2595 | 2012-05-29 |
| Street Address |
520 S TELEPHONE RD |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710239645 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 520 S Telephone Rd, Ste 207, Moore, OK 73160-5423 | 2012-10-02 |
| 1275727109 | Jami Carol Mcdonald | Massage Therapist | 520 S Telephone Rd, Suite 207, Moore, OK 73160-5423 | 2007-09-04 |
| 1174745830 | Rodney J. Miles, M.d., Inc. | Clinic/Center | 520 S Telephone Rd, Suite 110, Moore, OK 73160-5423 | 2007-05-03 |
| 1225180557 | Eye Care Oklahoma, Inc | Clinic/Center | 520 S Telephone Rd, Suite 101, Moore, OK 73160-5423 | 2007-01-17 |
| 1306933726 | Lana G Nelson Do PC | Surgery | 520 S Telephone Rd, Suite 101, Moore, OK 73160-5424 | 2006-10-06 |
| 1992714901 | Cynthia L Nydick | Surgery | 520 S Telephone Rd, Suite 100, Moore, OK 73160-5423 | 2006-08-07 |
| 1164458097 | Angela Jokhi Anderson | Social Worker | 520 S Telephone Rd, Suite 201, Moore, OK 73160-5423 | 2006-06-23 |
| 1750332045 | Larry D. Leemaster D.d.s., P.C. | Dentist | 520 S Telephone Rd, Suite 205, Moore, OK 73160-5423 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1073696605 | Kenneth Demasters | Physician Assistant | 507 Ne 12th St, Moore, OK 73160-5807 | 2006-10-24 |
| 1073559373 | Randall Allen Carter | Physician Assistant | 1400 Se 4th St Ste H, Moore, OK 73160 | 2006-06-22 |
| 1447256193 | Harry B. Taylor | Physician Assistant | 320 N Service Rd, Moore, OK 73160-4945 | 2005-06-27 |
| 1184142259 | Ashley Morgan Garrison | Physician Assistant | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2017-09-08 |
| 1871863712 | Kay B Rochester | Physician Assistant | 1400 Se 4th St, Suite H, Moore, OK 73160-7329 | 2012-01-10 |
| 1114153293 | Mandi Brooke Rhodes | Physician Assistant | 1400 Se 4th St, Ste H, Moore, OK 73160-7329 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 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.