LISA MARIE PEACOCK (NPI# 1295721462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295721462 |
| Entity Type | Individual |
| Full Name | LISA MARIE PEACOCK |
| Credential | MD |
| Practice Address |
3700 Saint Charles Ave 5th Floor New Orleans LA 70115-4637 |
| Practice Telephone | 5044121520 |
| Practice Fax Number | 5048992866 |
| Mailing Telephone | 5044121520 |
| Mailing Fax Number | 5048992866 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 205673 | LA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 033672 | GA | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
205673 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629310990 | Lisa Peacock | Counselor | 4433 Ne 35 Place, Portland, OR 97211 | 2013-03-25 |
| 1710245006 | Lisa Martinez Peacock | Social Worker | 8001 Shawnee Mission Pkwy, Suite 250c, Merriam, KS 66202-2966 | 2012-04-24 |
| 1134768211 | Lisa Peacock | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-01-06 |
| 1578059309 | Lisa Lynn3 Peacock | Health Educator | 10423 Centurion Pkwy N, Jacksonville, FL 32256-0527 | 2018-07-04 |
| 1952475287 | Lisa Marie Peacock | Nurse Practitioner | 2325 Garfield Rd N, Traverse City, MI 49686-5127 | 2006-11-20 |
| Street Address |
3700 SAINT CHARLES AVE 5TH FLOOR |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899315 | Memorial Hospice and Palliative Care of New Orleans, LLC | Hospice Care, Community Based | 3700 Saint Charles Ave, Fl 5, New Orleans, LA 70115-4637 | 2005-05-30 |
| 1770140824 | Caroline A Schulenberg | Physician Assistant | 3700 Saint Charles Ave, New Orleans, LA 70115 | 2019-05-23 |
| 1255818399 | Mattie Girod | Nurse Practitioner | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2018-07-22 |
| 1659721702 | Jessica Reed | Nurse Practitioner | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2016-06-20 |
| 1275980906 | Stephanie O'gwynn Eschete | Physician Assistant | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2016-05-23 |
| 1922496132 | Allison Guste | Registered Nurse | 3700 Saint Charles Ave, 5th Floor, New Orleans, LA 70115-4637 | 2014-12-23 |
| 1861801284 | Shawn Marcelle | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-08-11 |
| 1184033888 | Teresa Castillo | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-08-06 |
| 1699184465 | Marie Rolfson | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-08-06 |
| 1336558105 | April Madonna Burrows | Technician, Health Information | 3700 Saint Charles Ave, New Orleans, LA 70115-4637 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on LISA MARIE PEACOCK.
| 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.