JENNIFER A LISOWE (NPI# 1275593923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275593923 |
| Entity Type | Individual |
| Full Name | JENNIFER A LISOWE |
| Credential | MD |
| Practice Address |
5067 55th St Nw Rochester MN 55901-3809 |
| Practice Telephone | 5072883443 |
| Practice Fax Number | 5075296622 |
| Mailing Telephone | 5072883443 |
| Mailing Fax Number | 5075296622 |
| Enumeration Date | 2006-03-26 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 41670 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 685224600 | 05 |
| Street Address |
5067 55TH ST NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958140 | Rochelle Steiger | Physical Therapy Assistant | 5067 55th St Nw, Rochester, MN 55901-3809 | 2016-08-29 |
| 1992101620 | Deborah Dailey | Nurse Practitioner | 5067 55th St Nw, Rochester, MN 55901 | 2014-11-06 |
| 1225464803 | Anna Baldwin | Pharmacist | 5067 55th St Nw, Rochester, MN 55901-3809 | 2013-09-16 |
| 1083953541 | Lance Donald Leclair | Pharmacist | 5067 55th St Nw, Suite A, Rochester, MN 55901-3809 | 2013-02-04 |
| 1811241169 | Omc Retail Services LLC | Durable Medical Equipment & Medical Supplies | 5067 55th St Nw, Rochester, MN 55901-3809 | 2012-11-07 |
| 1093064461 | Danielle Marie Roach | Pharmacist | 5067 55th St Nw, Rochester, MN 55901-3809 | 2012-08-31 |
| 1144514050 | Sara A Buechel | Pharmacist | 5067 55th St Nw, Omc Nw Pharmacy, Rochester, MN 55901-3809 | 2011-06-08 |
| 1447562608 | Amy C Mueller | Physical Therapist | 5067 55th St Nw, Rochester, MN 55901-3809 | 2010-07-05 |
| 1003144767 | Melissa S Larson | Physical Therapist | 5067 55th St Nw, Rochester, MN 55901-3809 | 2009-11-18 |
| 1306885686 | Peter M Arndt | Pediatrics | 5067 55th St Nw, Rochester, MN 55901-3809 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1366887929 | Anna Suozzi Land | Dermatology | 220 Linden Oaks Ste 300, Rochester, NY 14625-2839 | 2013-05-08 |
| 1477869816 | Stephen E Presser M.d. PC | Dermatology | 1815 South Clinton Avenue, Ste 530, Rochester, NY 14618 | 2010-08-24 |
| 1386969764 | Lindsey Brodell Dolohanty | Dermatology | 990 South Ave., Suite 206, Rochester, NY 14620 | 2010-03-29 |
| 1427284488 | Kathleen Anne Mannava | Dermatology | 400 Red Creek Dr Ste 200, Rochester, NY 14623-4281 | 2009-06-04 |
| 1396913489 | Helendale Dermatology and Medical Spa, Pllc | Dermatology | 500 Helendale Rd Ste 100, Rochester, NY 14609-3109 | 2008-02-12 |
| 1720282163 | Shannon Brown Routhouska | Dermatology | 220 Linden Oaks, Suite 300, Barrington Park Dermatological Association, Rochester, NY 14625 | 2007-06-11 |
| 1629280862 | Richard M Greene Md PC | Dermatology | 2150 South Clinton Avenue, Rochester, NY 14618 | 2007-05-03 |
| 1861592503 | Stephen John Xenias | Dermatology | 1716 Ridge Rd E, Rochester, NY 14622-2157 | 2006-09-23 |
| 1750327417 | Dorothy J Cline | Dermatology | 210 9th St Se Ste 307, Rochester, MN 55904-6756 | 2006-06-21 |
| Find all providers in ROCHESTER | ||||
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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.