DR. LISA J HERRIN (NPI# 1366535445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366535445 |
| Entity Type | Individual |
| Full Name | DR. LISA J HERRIN |
| Credential | MD |
| Practice Address |
712 Sw Wilshire Blvd Burleson TX 76028-5711 |
| Mailing Address |
Po Box 6278 Fort Worth TX 76115-0278 |
| Practice Telephone | 8174260757 |
| Practice Fax Number | 8174264109 |
| Mailing Telephone | (817) 568-4556 |
| Mailing Fax Number | 8175685474 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
H4400 | TX | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | H4400 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 132731409 | 05 | |
| TX | 140442857 | 05 | |
| TX | BCBSTX IND PIN | 8M3077 | 01 |
| TX | PHCS PIN | 9057411 | 01 |
| GRP NPI NUMBER | 1003887985 | 01 | |
| TX | 132731411 | 05 | |
| TX | 163314101 | 05 | |
| TX | AETNA PIN | 4586688 | 01 |
| TX | BCBSTX GRP PIN | 0087LE | 01 |
| TX | FIRSTHEALTH PIN | 1729016 | 01 |
| TX | CIGNA PIN | 6811699 | 01 |
| Street Address |
712 SW WILSHIRE BLVD |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720403371 | Doctormom,md Pediatrics Pllc | Clinic/Center | 712 Sw Wilshire Blvd, Burleson, TX 76028-5711 | 2014-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528301314 | Aakanksha Gera | Pediatrics | 11807 South Fwy Ste 365, Burleson, TX 76028-7045 | 2013-04-01 |
| 1538344635 | Child Care Pediatrics, P.a. | Pediatrics | 11797 South Fwy Ste 326, Burleson, TX 76028-7035 | 2008-01-08 |
| 1457446510 | Carla B Smith | Pediatrics | 225 Se John Jones Dr, Burleson, TX 76028 | 2006-10-04 |
| 1629005590 | Lanna B Mcclain | Pediatrics | 225 Se John Jones, Ste 101, Burleson, TX 76028-8342 | 2006-06-27 |
| 1154376051 | Madapura Satyanarayana | Pediatrics | 11803 South Fwy Ste 103, Box 6426, Burleson, TX 76028-7028 | 2006-05-23 |
| 1487174520 | Maha Salman Haroon | Pediatrics | 11807 South Fwy Ste 365, Burleson, TX 76028-7045 | 2017-06-20 |
| 1720281447 | Sreemdevi Ramakrishnan | Pediatrics | 11803 South Fwy, Suite 208, Burleson, TX 76028-7012 | 2007-06-08 |
| 1760529986 | Tiffany Baird | Pediatrics | 11803 South Fwy, Suite 208, Burleson, TX 76028-7012 | 2007-01-30 |
| 1194800367 | Deborah S Vert | Pediatrics | 225 Se John Jones Dr, Burleson, TX 76028-8341 | 2006-10-26 |
| 1063428670 | Mirla Guevarra Manito-hugo | Pediatrics | 11797 South Freeway, Suite 246, Burleson, TX 76028-7035 | 2006-08-01 |
| Find all providers in BURLESON | ||||
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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.