DR. LISA WYNETTE MURPHY (NPI# 1174506315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174506315 |
| Entity Type | Individual |
| Full Name | DR. LISA WYNETTE MURPHY |
| Credential | MD |
| Practice Address |
200 W Coolidge Ave Modesto CA 95350-4447 |
| Mailing Address |
830 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095775005 |
| Practice Fax Number | 2095211533 |
| Mailing Telephone | 2095587248 |
| Mailing Fax Number | 2095588723 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C148024 | CA | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
4301056342 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CHOICE | 160D410050 | 01 |
| MI | MCARE | C5869 | 01 |
| MI | BLUE CARE NETWORK | 160D410050 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 160D410050 | 01 |
| MI | HEALTHPLUS | 0982797 | 01 |
| MI | BLUE CROSS BLUE SHIELD | 1602503852 | 01 |
| MI | HAP | G93281 | 01 |
| MI | HEALTH ADVANTAGE | 203333 | 01 |
| MI | 34649164 | 05 | |
| MI | COMMUNITY BLUE | 160D410050 | 01 |
| MI | 4380839 | 05 | |
| MI | HEALTH NET FEDERAL SERVIC | G93281 | 01 |
| MI | AETNA | 01338 | 01 |
| MI | MCLAREN HEALTH PLAN | 203333 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1209 Woodrow Ave Ste B10, Modesto, CA 953501273 | 2095585312 | 2095585310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079802 | Lisa B Murphy | Specialist | 9301 W Highway 316, Reddick, FL 32686-3054 | 2019-02-18 |
| 1457826893 | Lisa Murphy | Behavior Technician | 1500 Plaza Pl Ste 10, Muscatine, IA 52761-5315 | 2018-10-12 |
| 1942701446 | Lisa Murphy | Psychologist | 329 N Wetherly Dr Ste 204, Beverly Hills, CA 90211-1675 | 2018-02-21 |
| 1992172126 | Lisa Murphy | Physical Therapist | 9395 Kenwood Rd Ste 107, Blue Ash, OH 45242-6819 | 2015-08-24 |
| 1447569462 | Lisa Murphy | Pharmacist | 115 Leaders Heights Rd, York, PA 17403-5138 | 2010-09-27 |
| 1174834212 | Lisa Jane Murphy | In Home Supportive Care | 10007 Maggie St, Gibsonton, FL 33534-4007 | 2010-06-23 |
| 1851627905 | Lisa Murphy | Social Worker | 29 Meadow Dr, Mill Valley, CA 94941-1545 | 2009-10-26 |
| 1578719472 | Lisa D Murphy | Occupational Therapist | 11840 S La Cienega Blvd, Hawthorne, CA 90250-3459 | 2008-08-11 |
| 1730219429 | Lisa Renee Murphy | Specialist | 104 E. 14th St., Bowling Green, KY 42101 | 2007-03-06 |
| 1275163354 | Lisa Murphy | Licensed Practical Nurse | 21851 84th Ave S # 101, Kent, WA 98032-1958 | 2020-01-17 |
| Street Address |
200 W COOLIDGE AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912264862 | First Choice Physician Partners | Family Medicine | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2012-04-17 |
| 1730380718 | Mehri Khatibi | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2007-05-29 |
| 1003022120 | Maureen Vieira | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2007-05-15 |
| 1154537256 | Janice Kirstine Hammond | Advanced Practice Midwife | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2007-05-15 |
| 1295850048 | Susan Ways Phd Md Inc. | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2007-03-20 |
| 1033287685 | Susan C Ways | Obstetrics & Gynecology | 200 W Coolidge Ave, Modesto, CA 95350 | 2006-12-01 |
| 1952491029 | Margaret Louise Good | Nurse Practitioner | 200 W Coolidge Ave, Modesto, CA 95350-4447 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1124418835 | Casey Elizabeth Richardson | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2015-02-02 |
| 1194922351 | Darshana Kittur | Obstetrics & Gynecology | Kaiser Foundation Hospital- Modesto, 4601 Dale Road 3rd Floor, Modesto, CA 95356-2804 | 2007-06-29 |
| 1770517229 | Charles Slocumb M.d. | Obstetrics & Gynecology | 2209 Coffee Rd Ste M, Modesto, CA 95355 | 2006-07-10 |
| 1801838917 | David S Henry | Obstetrics & Gynecology | 1444 Coffee Road, Modesto, CA 95355 | 2006-06-12 |
| 1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
| 1336134303 | Lloyd James Lee Sr. | Obstetrics & Gynecology | 1500 Florida Ave, Modesto, CA 95350 | 2005-09-15 |
| 1679923387 | Carson Rodeffer | Obstetrics & Gynecology | 1552 Coffee Rd Fl 1, Modesto, CA 95355-3122 | 2016-06-14 |
| 1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
| 1548680747 | Andrea Moreno | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356 | 2014-04-27 |
| 1891135844 | Kathy P Tom | Obstetrics & Gynecology | 4601 Dale Rd, Modesto, CA 95356-9718 | 2013-07-04 |
| Find all providers in MODESTO | ||||
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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.