ALISA BRAY (NPI# 1124410071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124410071 |
| Entity Type | Individual |
| Full Name | ALISA BRAY |
| Other Name | ALISA CARLSON |
| Credential | D.O. |
| Practice Address |
2213 Cherry St Toledo OH 43608-2603 |
| Practice Telephone | 4192516530 |
| Practice Fax Number | 4192516849 |
| Mailing Telephone | 4192516522 |
| Mailing Fax Number | 4192516849 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2019-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 5101025100 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620065 | Alisa B Bray | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2019-10-08 |
| Street Address |
2213 CHERRY ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778837 | Theodore M Braun | Surgery | 2213 Cherry St, 1st Floor, Toledo, OH 43608-2603 | 2005-05-23 |
| 1902403579 | Christopher Robert Colter | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1235736943 | Tessa Shea Palazzolo | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1952916363 | Courtney Bea May | Social Worker | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-09-11 |
| 1083234975 | Landon Ryan Bowerbank | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-21 |
| 1255951380 | Sanju Riti Wadhwa | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-18 |
| 1770102360 | Mohinder Kaur Gill | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1093334773 | Swathi Yarlagadda | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1558980326 | Jillian Sampair | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1427677129 | Huda Fatima | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174987952 | Danielle E Beaver | Obstetrics & Gynecology | 3000 Arlington Ave # 1194, Toledo, OH 43614-2595 | 2016-04-07 |
| 1912240862 | Tracy Ann Griffith | Obstetrics & Gynecology | 3425 Executive Pkwy Ste 200, Toledo, OH 43606-1333 | 2013-03-28 |
| 1972802452 | Amal El Taji | Obstetrics & Gynecology | 3401 Glendale Ave Ste 212, Toledo, OH 43614-2490 | 2011-03-23 |
| 1275793531 | Jamie Lynne Gladden | Obstetrics & Gynecology | 3120 Glendale Ave Suite L, The Univ of Toledo Medical Center - Dept of Psychiatry, Toledo, OH 43614 | 2008-06-11 |
| 1851566012 | Thomas William Michaelis | Obstetrics & Gynecology | 1160 W Sylvania Ave, Toledo, OH 43612-1761 | 2008-04-28 |
| 1174577357 | Yasuhiko Kaji | Obstetrics & Gynecology | 1528 Park Ridge Ln, Toledo, OH 43614-1916 | 2006-05-20 |
| 1518959253 | Karen Moteller Adams-ferguson | Obstetrics & Gynecology | 4895 Monroe St, Suite 203, Toledo, OH 43623-4383 | 2005-08-18 |
| 1972502615 | Ronica A Neuhoff | Obstetrics & Gynecology | 3125 Transverse Dr, Toledo, OH 43614-8008 | 2005-07-15 |
| 1659813897 | A Woman's Answer | Obstetrics & Gynecology | 4895 Monroe St, Suite 203, Toledo, OH 43623-4383 | 2016-11-04 |
| 1700336583 | Tiberiu Avram Md PC | Obstetrics & Gynecology | 3020 N Mccord Rd, Suite 201a, Toledo, OH 43615-1744 | 2016-10-05 |
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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.