DR. LISA MARIE RICHMOND (NPI# 1114127768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114127768 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE RICHMOND |
| Credential | M.D. |
| Practice Address |
8111 Township Line Rd Indianapolis IN 46260-2479 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 3174157921 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 01064992A | IN | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
01064992A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000570502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538361480 | Lisa A. Richmond | Audiologist | 510 E. North Broadway, Columbus, OH 43214 | 2007-06-04 |
| Street Address |
8111 TOWNSHIP LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1891327730 | Claire Richey | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2020-02-09 |
| 1245861848 | Cindy Ann Syrek | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2020-02-01 |
| 1356832638 | Jenna K Maple | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-05-23 |
| 1194221929 | Edwin Neal Shoemaker | Student in an Organized Health Care Education/Training Program | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-04-02 |
| 1417451147 | Hollie Elizabeth Ainley | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2018-03-19 |
| 1760915854 | Krystal K Marshall | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2017-04-06 |
| 1164961660 | Morgan D Crum | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2017-02-16 |
| 1154772465 | Debra A Moon | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-06-28 |
| 1548614191 | Jessica L Greene | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1366897605 | Nicholas Theodore Severyn | Pediatrics | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 | 2016-04-24 |
| 1255728903 | Sara K Kane | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2015-04-21 |
| 1053741751 | Riddhi Shukla | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2013-11-15 |
| 1285074724 | Katie Ann Huff | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2013-06-28 |
| 1841557253 | Alana Louise Barbato | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202 | 2012-04-23 |
| 1568729333 | Osayame Austine Ekhaguere | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202 | 2012-04-18 |
| 1578838660 | Kelsey Montgomery | Pediatrics | 8111 Township Line Rd, Indianapolis, IN 46260 | 2012-03-21 |
| 1548557507 | Alejandra Valladolid | Pediatrics | 705 Riley Hospital Dr, Rr 208, Indianapolis, IN 46202-5109 | 2011-06-28 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
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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.