LISA KOTZEN (NPI# 1174845846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174845846 |
| Entity Type | Individual |
| Full Name | LISA KOTZEN |
| Other Name | LISA JOHNIDES JOHNIDES |
| Credential | PA |
| Practice Address |
750 Stephenson Hwy 235 Bbc Troy MI 48083-1103 |
| Mailing Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
| Practice Telephone | 2485773522 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005577 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 STEPHENSON HWY 235 BBC |
| City | TROY |
| State | MI |
| Zip Code | 48083-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008945 | Alan Joseph Ross | Internal Medicine | 750 Stephenson Hwy, 235 Bbc, Troy, MI 48083-1103 | 2005-08-01 |
| 1285023689 | Kristen Pelshaw | Nurse Anesthetist, Certified Registered | 750 Stephenson Hwy, Troy, MI 48083-1103 | 2015-01-22 |
| 1467840462 | Cristina Maiuri | Nurse Anesthetist, Certified Registered | 750 Stephenson Hwy, Troy, MI 48083-1103 | 2014-12-30 |
| 1023360906 | Michael F Parslow Jr. | Physician Assistant | 750 Stephenson Hwy, Beaumont Payor Contract Services, Troy, MI 48083-1103 | 2012-10-03 |
| 1972898211 | Jenna Robidou | Physician Assistant | 750 Stephenson Hwy, Troy, MI 48083-1103 | 2011-06-15 |
| 1134420714 | Lisa Sinishtaj | Nurse Practitioner | 750 Stephenson Hwy, 235 Bbc, Troy, MI 48083-1103 | 2010-11-12 |
| 1649504622 | Thomas Sarnovsky | Nurse Practitioner | 750 Stephenson Hwy, 235 Bbc, Troy, MI 48083-1103 | 2009-09-24 |
| 1639302888 | Sara Malewski | Nurse Practitioner | 750 Stephenson Hwy, 235 Bbc, Troy, MI 48083-1103 | 2009-09-03 |
| 1891923629 | Megan Elizabeth Spearin | Physician Assistant | 750 Stephenson Hwy, Troy, MI 48083-1103 | 2009-07-01 |
| 1811907447 | Brenda J Kitchen | Pediatrics | 750 Stephenson Hwy, Troy, MI 48083-1103 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417420449 | Thapasvi Muttirevula | Physical Therapist | 2422 Cedar Knoll Dr, Troy, MI 48083 | 2019-01-02 |
| 1114418290 | Ann Katchke | Physical Therapist | 3179 Livernois Rd, Troy, MI 48083 | 2018-05-23 |
| 1518485945 | Risa Rae Mendelson | Counselor | 1059 Owendale Street, Troy, MI 48083 | 2017-09-06 |
| 1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
| 1528510328 | Dylan Skye Polasko | Behavioral Analyst | 2221 E 4th St, #101, Troy, MI 48083 | 2016-10-27 |
| 1235683061 | Sadia Ghazi | Technician, Other | 3178 Daley Dr., Troy, MI 48083 | 2016-08-10 |
| 1548664345 | Amber Leigh Ernst | Social Worker | 1225 E. Big Beaver Road, Troy, MI 48083 | 2014-10-22 |
| 1356782411 | Michelle Louise Knoblock | Nurse Anesthetist, Certified Registered | 1560 E Maple Rd Ste 100, Troy, MI 48083 | 2013-07-17 |
| 1437400728 | Oakland Physicians Surgery Center | Clinic/Center | 1560 E. Maple Road, Suite 100, Troy, MI 48083 | 2012-09-26 |
| 1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
| Find all providers in zip 48083 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1275146284 | Abigail Christine Miller | Physician Assistant | 4145 Butternut Hill Dr, Troy, MI 48098-4283 | 2020-08-28 |
| 1649882507 | Laurel Jeanne Seabolt | Physician Assistant | 4426 Holly Dr, Troy, MI 48085-4813 | 2020-08-20 |
| 1477164499 | Megan Turner | Physician Assistant | 3130 N County Rd, Troy, OH 45373-1337 | 2020-08-13 |
| 1487278800 | Rachel Barton | Physician Assistant | 2559 Palmerston Dr, Troy, MI 48084-1021 | 2020-06-01 |
| 1649891375 | Meagan Elizabeth Cuff | Physician Assistant | 3815 Ledge Dr, Troy, MI 48084-1141 | 2020-05-05 |
| 1487298329 | Megan Shelly | Physician Assistant | 2571 Hounds Chase Dr, Troy, MI 48098-2338 | 2019-11-04 |
| 1053952341 | Amanda Kate Livolsi | Physician Assistant | 258 Hoosick St Ste 106, Troy, NY 12180-2446 | 2019-10-08 |
| 1952961377 | Harsimran Grewal | Physician Assistant | 6053 Mayapple Dr, Troy, MI 48085-1065 | 2019-06-18 |
| 1457918237 | Cherita A Garcia | Physician Assistant | 1330 Us-231, Troy, AL 36081 | 2019-05-28 |
| Find all providers in TROY | ||||
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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.