LISA MARIE ANDERSON (NPI# 1366525826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366525826 |
| Entity Type | Individual |
| Full Name | LISA MARIE ANDERSON |
| Other Name | LISA MARIE GOURLEY |
| Credential | MS, PA-C |
| Practice Address |
301 St Paul Place Dept of Medicine Baltimore MD 21202 |
| Mailing Address |
301 St. Paul Street Suite 300 Baltimore MD 21202 |
| Practice Telephone | 4103329694 |
| Mailing Telephone | 4103329694 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | C0003392 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C0003392 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889706 | Lisa Marie Anderson | Occupational Therapy Assistant | 5269 Green Valley Dr, Clarence, NY 14031-1231 | 2020-01-03 |
| 1063991263 | Lisa Anderson | Licensed Vocational Nurse | 213 Pryor St, Rusk, TX 75785-9206 | 2018-08-08 |
| 1780182840 | Lisa Anderson | Licensed Practical Nurse | 4383 Devonshire Rd, Detroit, MI 48224-3637 | 2018-01-24 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
| 1790145258 | Lisa Dasher Anderson | Nurse Practitioner | 1000b North Veterans Boulevard, Glennville, GA 30427 | 2016-02-26 |
| 1780053371 | Lisa Anderson | Speech-Language Pathologist | 41750 Carthage Rd, Ravenna, NE 68869-4051 | 2015-09-24 |
| 1982959508 | Lisa Marie Anderson | Specialist | 4 Cherry Pl, Staten Island, NY 10314-6912 | 2012-07-19 |
| 1396008413 | Lisa L Anderson | Counselor | 500 S Main St Ste B, Mount Pleasant, MI 48858-3100 | 2012-06-22 |
| 1285928309 | Lisa Waters Anderson | Speech-Language Pathologist | 1525 Beaver Ave, Des Moines, IA 50310-4426 | 2011-06-06 |
| Street Address |
301 ST PAUL PLACE DEPT OF MEDICINE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173717 | Mara Vucich | Physical Medicine & Rehabilitation | 301 St Paul Place, Baltimore, MD 21202-4600 | 2005-09-07 |
| 1336747195 | Susan Hamilton | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2020-10-14 |
| 1528547445 | Danielle Hayden | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2018-08-10 |
| 1912369661 | Carey Bradley Cezar | Advanced Practice Midwife | 301 St Paul Place, Baltimore, MD 21202 | 2016-03-22 |
| 1881073997 | Harry Auster | Physician Assistant | 301 St Paul Place, Baltimore, MD 21202 | 2015-05-21 |
| 1316365349 | Jason Preissig | Dermatology | 301 St Paul Place, Suite 607, Baltimore, MD 21202-2102 | 2014-04-07 |
| 1114351533 | Jeanmarie Greco Modresky | Pharmacist | 301 St Paul Place, Baltimore, MD 21202 | 2013-08-22 |
| 1528300977 | Andrea Limpuangthip | Internal Medicine | 301 St Paul Place, Baltimore, MD 21202 | 2013-03-25 |
| 1942463542 | Richard Desi | Internal Medicine | 301 St Paul Place, # 718, Baltimore, MD 21202 | 2008-07-03 |
| 1285800136 | Joel D Meshulam Md LLC | Internal Medicine | 301 St Paul Place, #804, Baltimore, MD 21202-2102 | 2008-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1245718733 | Kaitlyn Ayerle | Physician Assistant | 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 | 2018-08-06 |
| 1376037572 | Marie Hoffman | Physician Assistant | 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 | 2018-06-20 |
| 1902315625 | Randy Kimery | Physician Assistant | 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 | 2017-09-26 |
| 1447701958 | Yuliya Shmyga Fischer | Physician Assistant | 345 St Paul Pl, Baltimore, MD 21202-1937 | 2016-10-19 |
| 1851845655 | Tamarah Thompson | Physician Assistant | 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 | 2016-08-09 |
| 1194194449 | Alexzandra Kristyna Briedis | Physician Assistant | 1311 Olive St, Baltimore, MD 21230-4255 | 2015-09-16 |
| 1295124030 | Miriam Weiss | Physician Assistant | 6602 Troy Ct, Baltimore, MD 21209-2636 | 2015-01-16 |
| 1972992824 | Kelley Crane | Physician Assistant | 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 | 2015-01-15 |
| 1447688353 | Adina Bergmann | Physician Assistant | 3630 Milford Mill Rd, Baltimore, MD 21244-3328 | 2013-10-31 |
| Find all providers in BALTIMORE | ||||
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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.